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Revascularization of Severely Ischemic Lower Extremities in the Elderly by Femorotibial Bypass *
Author(s) -
REICHLE FREDERICK A.,
TYSON R. ROBERT
Publication year - 1972
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1972.tb02147.x
Subject(s) - medicine , gangrene , surgery , revascularization , amputation , bypass surgery , myocardial infarction , artery
In 79 of 89 patients operated on for severely ischemic lower extremities, the procedure used was femorotibial or femoroperoneal bypass. Two thirds of the patients were over 60 years of age. In some cases the follow‐up period was as long as eight and a half years. A functional bypass was achieved as often in the older groups (67–77 per cent) as in the younger group (74 per cent). The rate of limb salvage was lower in the older groups, but it was still a significant 57–65 per cent versus 74 per cent in patients younger than 60. Femorotibial bypass in lieu of primary amputation is recommended for elderly patients with such absolute indications for surgery as gangrene, gangrenous ulceration, or rest pain.