Composite Grafts as an Alternative Conduit to Prosthetic Grafts in Below Knee Femoro-popliteal Bypass in Patients of Chronic Lower Limb Ischemia | ||
| Ain Shams Journal of Surgery | ||
| Volume 15, Issue 2, July 2022, Pages 88-95 PDF (749.26 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/asjs.2022.246347 | ||
| Authors | ||
| Hassan Lofty Ibrahim; Ahmed Raafat Naga; Karim Amr Ghazy; Sameh Moustafa Elsayed | ||
| Department of Surgery, Vascular Surgery Unit, Faculty of Medicine, Alexandria University, Egypt | ||
| Abstract | ||
| Background: Chronic limb threatening lower limb ischaemia (CLTI) gives high limb loss and mortality. Infragenicular Femoro-popliteal bypass offers in-line flow to target vessels. When vein not available, composite and prosthetic grafts are used. Aim of the work: Comparing composite vs synthetic femoro-popliteal bypass conduits in treatment of CLTI. Patients and methods: 20 adult patients were included in this prospective study from July 2020 to July 2021 having CLTI requiring below knee femoro-popliteal bypass, no suitable vein conduit. Ten had composite grafts bypass (group A) and 10 patients had synthetic graft (group B), and followed for 6 months. Results: Improved clinical manifestations in both groups and significant increase of ankle brachial index. 6 months 1ry and 2ry patency were 90% and 100% in group A, and 67% and 78% in group B. Limb salvage were 100% in group A and 89% in group B. No significant difference between groups’ outcome, complications, and ABI. Conclusion: Both types of conduit showed acceptable feasibility and outcome. | ||
| Keywords | ||
| Infragenicular bypass; femoro-popliteal; composite graft; synthetic graft | ||
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