| Literature DB >> 27573147 |
F Dünschede1, M Youssef2, J Stabrauskaite2, S Ahmed2, C Espinola-Klein3, B Dorweiler2, C-F Vahl2.
Abstract
For the surgical treatment of critical limb ischemia one of the decisive influencing factors for short-term and long-term limb salvage is the use of autologous veins as bypass material. There is currently a lack of studies on the long-term assessment of alternative bypass materials, which can be used for critical limb ischemia due to a lack of autologous vein material. A prospective database was established that included all patients with critical limb ischemia who received a bypass with the Omniflow-II™ prosthesis. From 2006 until 2014 bypass surgery with the Omniflow-II™ prosthesis was carried out in 123 patients. The mortality was 5 % while the morbidity was 14 % and the 5‑year survival rate was 37 %. In patients with a popliteal bypass (n = 62), the primary and secondary patency rates were 34 % and 69 %, respectively after 5 years. The corresponding results for the crural position (n = 61) over the same time period were 32 % and 34 %, respectively. After 5 years, the group receiving popliteal bypass surgery showed a limb salvage rate of 98 % whereas the crural group had a rate of 70 %. In this study we could demonstrate very promising results using the Omniflow-II™ prosthesis for the surgical treatment of critical limb ischemia.Entities:
Keywords: Critical limb ischemia; Limb salvage; Peripheral bypass surgery
Mesh:
Year: 2017 PMID: 27573147 DOI: 10.1007/s00104-016-0276-0
Source DB: PubMed Journal: Chirurg ISSN: 0009-4722 Impact factor: 0.955