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Asian Cardiovasc Thorac Ann 2003;11:127-130
© 2003 Asia Publishing EXchange Ltd

ORIGINAL CONTRIBUTIONS

Peroneal Artery Reconstruction via Medial Approach Using Tourniquet Occlusion

Shunya Shindo, MD, Koji Ogata, MD, Kenji Kubota, MD, Atsuo Kojima, MD, Masahiro Kobayashi, MD, Yusuke Tada, MD

Second Department of Surgery, Yamanashi Medical University, Yamanashi, Japan

For reprint information contact: Shunya Shindo, MD Tel: 81 55 273 9682 Fax: 81 55 273 6767 email: sshindo{at}res.yamanashi-med.ac.jp Second Department of Surgery, Yamanashi Medical University, 1110 Shimokato, Tamaho-cho, Nakakoma-gun, Yamanashi 409-3898, Japan.

As peroneal artery bypass surgery is technically demanding, a simplified medial approach was used in 23 peroneal artery reconstructions in 21 patients between January 1993 and December 2001. The outcomes were reviewed retrospectively. Peroneal artery reconstruction was undertaken through a medial skin incision using tourniquet occlusion and saphenous vein grafts. Graft patency was confirmed by angiography or duplex color imaging. Peroneal bypass was possible through the medial approach in 20 cases; in 1 limb, the target was occluded. During a mean follow-up of 43.9 months, there were 4 graft occlusions. None of the failures was due to a technical error related to the procedure. All of the other patients had relief of their symptoms, including those who presented with disabling claudication. Technical improvements have made peroneal bypass a reasonable choice in below-knee arterial reconstruction. This technique should not be restricted to limb salvage.






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