Die kurze Femoralisrekonstruktion bei kritischer Ischämie — Sinn und Unsinn
Of the great number of patients with critical leg ischemia there are few who have a short distal femoral occlusion as the only reconstructible vessel. Catheter technique should not be used because of irreversible damage by possible peripheral embolization, as shown in one case. A surgical alternative is presented and used in 20 cases: the short-vein interposition graft with a strongly supragenual approach. This type of reconstruction works well despite high peripheral resistance. There were only two early reocclusions. However, clinical effectivity remains poor according to the poor peripheral vasculature in critical ischemia. Major amputations (20 %) were therefore required in all cases of foot gangrene. In such situations the short supragenual reconstruction is a useless measure.
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