Below-knee bypasses using venous “cuffs"

Background/Aim. Although distal venous patch and cuff techniques are recommended to improve the patency of by-pass in lower extremities, advantage these remains unproven. Autovenous bypass graft method choice, but when there is no possibility using great saphenous vein, may have an advantage. The aim this study was evaluate results femorodistal procedures with a critical extremity ischemia. Methods. described after follow-up period 6 24 months. We followed 28 patients composite anastomosis arterial reconstruction. Indications for surgical treatment were set on basis clinical exam morphological criteria based multidetector computed tomographic angiography. Three types graft-arterial anastomoses applied: Miller?s cuff, Taylor?s patch, St. Mary?s vein boot anastomosis. Results. After months surgery, all bypasses passable; one year, 2 (7%) had occlusion above-knee amputation, 8 (28%) died; months, 18 (64%) primary patency. Conclusion. Femorodistal synthetic good long-term results. optimal type boot. A longer comparison autovenous necessary more detailed assessment final conclusion.