Surgical Treatment of Chronic Ischemia of Lower Extremities

ABSTRACT

Between Jan. 1993 and Dec. 1995, thirty five patients (male 30, female 5) with chronic ischemia of lower extremities had underwent vascular surgery. The main cause of ischemia was atherosclerosis. Hypertension, diabetes and valvular heart disease were associated with these patients. The most common chief complaint was coldness and claudication. The procedures of operation included femoro-femoral crossover(14), axillo-bifemoral(7), aorto-bifemoral(6), femoro-popliteal(4), femoro-peroneal(2), femoral angioplasty(2). Pstoperative complications were wound infection(10), Bleeding(6), Compartment syndrome(4) and so on. Various anticoagulant therapy were maintained for at least 6 months. The 1 year, 2 year, 3 year, 4 year patency rates of postoperation were 78.2%, 75.1%, 71.4%, and 62.8% respectively