Authors

• Josip Figl — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0001-6755-8656
• Tomislav Meštrović — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0002-3492-3837
• Ivan Brižić — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0002-5874-8666
• Damir Halužan — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0002-8587-8351
• Dino Papeš — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0001-7241-9693
• Predrag Pavić — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0002-0117-7663
• Andrea Crkvenac Gregorek — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0002-7790-1347
• Irena Šnajdar — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0002-4429-1095
• Ivan Škorak — University of Zagreb School of Medicine, Zagreb, Croatia — ORCID: 0000-0002-4900-4876

Abstract

**The goal**: To compare the results of most distal femoral bypasses in our institution with results in literature. **Patients and Methods**: A single centre retrospective analysis of femoral to crural and distal-leg bypass performed in University Hospital Centre Zagreb between 2014 and 2018. **Results**: Primary one-year patency is even a bit better in our hospital than in literature (80% vs 77% respectively) and secondary patency is in the range of the world literature (54% vs 68% respectively). **Conclusion**: Surgical revascularization in form of the most distal bypasses, performed in this institution observed, although reserved for a smaller number of patients, is very good and reliable method of treatment, and its results are at the level of world standards and percentages. (1-3)

Keywords

critical limb ischemia, distal-leg bypass, femoral to crural bypass

DOI

Literature

1. Wölfle KD, Bruijnen H, Loeprecht H, Rümenapf G, Schweiger H, Grabitz K, et al. Graft patency and clinical outcome of femorodistal arterial reconstruction in diabetic and non-diabetic patients: results of a multicentre comparative analysis. Eur J Vasc Endovasc Surg. 2003 March;25(3):229–34. https://doi.org/10.1053/ejvs.2002.1849
2. van der Zaag ES, Legemate DA, Prins MH, Reekers JA, Jacobs MJ. Angioplasty or bypass for superficial femoral artery disease? A randomised controlled trial. Eur J Vasc Endovasc Surg. 2004 August;28(2):132–7. https://doi.org/10.1016/j.ejvs.2004.04.003
3. Veith FJ, Gupta SK, Ascer E, White-Flores S, Samson RH, Scher LA, et al. Six-year prospective multicenter randomized comparison of autologous saphenous vein and expanded polytetrafluoroethylene grafts in infrainguinal arterial reconstructions. J Vasc Surg. 1986 January;3(1):104–14. https://doi.org/10.1016/0741-5214(86)90073-X