Background: Chronic limb threatening lower limb ischaemia (CLTI) gives high limb loss and mortality. Infragenicular Femoro-popliteal bypass offers in-line flow to target vessels. When vein not available, composite and prosthetic grafts are used. Aim of the work: Comparing composite vs synthetic femoro-popliteal bypass conduits in treatment of CLTI. Patients and methods: 20 adult patients were included in this prospective study from July 2020 to July 2021 having CLTI requiring below knee femoro-popliteal bypass, no suitable vein conduit. Ten had composite grafts bypass (group A) and 10 patients had synthetic graft (group B), and followed for 6 months. Results: Improved clinical manifestations in both groups and significant increase of ankle brachial index. 6 months 1ry and 2ry patency were 90% and 100% in group A, and 67% and 78% in group B. Limb salvage were 100% in group A and 89% in group B. No significant difference between groups’ outcome, complications, and ABI. Conclusion: Both types of conduit showed acceptable feasibility and outcome.
Ibrahim, H., Naga, A., Ghazy, K., & Elsayed, S. (2022). Composite Grafts as an Alternative Conduit to Prosthetic Grafts in Below Knee Femoro-popliteal Bypass in Patients of Chronic Lower Limb Ischemia. Ain Shams Journal of Surgery, 15(2), 88-95. doi: 10.21608/asjs.2022.246347
MLA
Hassan Lofty Ibrahim; Ahmed Raafat Naga; Karim Amr Ghazy; Sameh Moustafa Elsayed. "Composite Grafts as an Alternative Conduit to Prosthetic Grafts in Below Knee Femoro-popliteal Bypass in Patients of Chronic Lower Limb Ischemia". Ain Shams Journal of Surgery, 15, 2, 2022, 88-95. doi: 10.21608/asjs.2022.246347
HARVARD
Ibrahim, H., Naga, A., Ghazy, K., Elsayed, S. (2022). 'Composite Grafts as an Alternative Conduit to Prosthetic Grafts in Below Knee Femoro-popliteal Bypass in Patients of Chronic Lower Limb Ischemia', Ain Shams Journal of Surgery, 15(2), pp. 88-95. doi: 10.21608/asjs.2022.246347
VANCOUVER
Ibrahim, H., Naga, A., Ghazy, K., Elsayed, S. Composite Grafts as an Alternative Conduit to Prosthetic Grafts in Below Knee Femoro-popliteal Bypass in Patients of Chronic Lower Limb Ischemia. Ain Shams Journal of Surgery, 2022; 15(2): 88-95. doi: 10.21608/asjs.2022.246347