Research in Medicine

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Background: The purpose of this clinical study was to assess the success of infra-inguinal revascularization in the treatment of lower limb ischemia in patients hospitalized with trauma. Materials and methods: Fifty seven consecutive patients admitted with trauma, during April 2000- March 2005, underwent bypass operations in the Shohada Hospital. Records of all patients were reviewed. Late control visits including clinical and color Doppler ultrasound examinations of arteries distal to the bypass were programmed for 41 patients. Primary, and secondary patency rates, and survival were determined. Results: Patients included 54 men (94.7%) and 3 women (5.3%) who underwent infrainguinal bypass with autologous saphenous vein. Primary patency rate was 89.5% and secondary patency rate was 97.3% with 44.5 months of follow up. Complication rate was 3.5% and amputation 10.5%. Mean transportation time was 22.7±17.8 hours. Limb salvage was done in 26.8% of patients with no mortality. Conclusion: Infra-inguinal revascularization can be performed in damaged limbs due to trauma with high primary and secondary patency rates and low complication rate. Keywords: trauma, infra-inguinal bypass, limb ischemia, saphenous vein.

Keywords: Trauma, Ischemia, Infra-inguinal by-pass, Saphenous vein.

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