Özel İstanbul Çamlıca Ömür Hastanesi, Kalp Damar Cerrahisi Kliniği, İSTANBUL

Objectives: We aimed to determine the yearly patency of the used grefts and case which is performing of femoro-popliteal bypass because of obstructer artery disease. Materials and Methods: 107 femoro-popliteal bypasses are performed for 89 cases because of the extreme chronic obstructer disease and these bypass operations are evaluated. The disease is diagnosed by the help of physical examination and subtraction angiography. As bypass material; reverse safen ven and polytetrafluoroethylene (PTFE) greft were used. Coroner angiography was performed to case which has got ischemic diversification in its preoperative electrocardiography and angina. The cases are evaluated for a monthly postoperative mortality and morbidity and for yearly primer greft patency. Results: 49 (45.7%) of the 107 bypasses were under knee and 58 (54.3%) of them were upper knee. 81 (75.7%) of the bypasses were achieved by revers safen ven and 26 of them were achieved by PTFE greft. Primer patency was determined as %95.5 at the revers safen ven grefts, and it was determined as 70% at the PTFE grefts. PTCA was performed to the 11 (12.3%) of the cases with coroner artery disease, and to the 15 (16.8%) of them, peripheral vascular attempt was performed after coroner bypass. Conclusion: We suggest that in the cases with the disease of peripheral vascular, safen ven greft must be used because of the high patency rate at the appropriate patients, and because of the coroner artery disease which is commonly associated with the disease of peripheral vascular, the angiography must be performed as a preoperative routine survey.