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J Cardiovasc Surg (Torino). 1999 Dec;40(6):845-7.

Does saphenous vein arterialisation prevent major amputation in critical leg ischaemia? A comparative study.

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  • 1Department of Surgery, Helsinki University Central Hospital, Finland.

Abstract

BACKGROUND:

Arterialisation of the great saphenous vein has been suggested to improve distal circulation in patients with critical leg ischaemia not accessible for reconstructive surgery. As the technique has been a matter of controversy the aim was to assess the outcome of a series of own patients treated with arterialisation and compare them with conservatively treated patients.

METHODS:

EXPERIMENTAL DESIGN:

a retrospective cohort study.

SETTING:

an academic referral centre (Department of Surgery, Helsinki University Central Hospital) together with a district hospital (Peijas-Rekola Hospital).

PATIENTS AND INTERVENTIONS:

14 consecutive patients with critical leg ischaemia treated with arterialisation of the great saphenous vein in the district hospital were compared with 14 age, sex, diabetes and symptom severity-matched controls with critical leg ischaemia treated conservatively in the academic referral centre.

MEASURES:

major amputations and patient survival.

RESULTS:

The leg salvage rate was 57% at one year in the arterialisation group and 54% in the conservative group (NS) but the survival rate at one year was 92% in the operative group and 64% in the control group (NS).

CONCLUSIONS:

Arterialisation did not have any effect on leg salvage. The results of this study do not support the use of arterialisation as a treatment for critical leg ischaemia

PMID:
10776715
[PubMed - indexed for MEDLINE]
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