Arterial clamping leads to stenosis at clamp sites after femoropopliteal bypass surgery

Am J Surg. 2015 Sep;210(3):536-44. doi: 10.1016/j.amjsurg.2015.03.003. Epub 2015 May 7.

Abstract

Background: To date, the incidence and clinical relevance of arterial stenosis at clamp sites after femoropopliteal bypass surgery is unknown.

Methods: Ninety-four patients underwent a femoropopliteal bypass in which the arterial inflow and outflow clamp sites were controlled by the Fogarty-Soft-Inlay clamp and marked with an hemoclip. The number of pre-existing atherosclerotic segments, clamp force, and clamp time were recorded and the occurrence of a stenosis at the clamp site was determined.

Results: After a mean follow-up of 83 months, a significant stenosis was confirmed at 23 of the 178 clamp sites (12.9%; 95% confidence interval 8.4 to 18.8). The mean number of pre-existing atherosclerotic segments (P = .28) and the mean clamp force (P = .55) was similar between the groups with and without a stenosis. There was a significant difference regarding clamp time between the group with and without a stenosis (38 minutes and 26 minutes, P = .001).

Conclusion: Arterial clamping, even with the Fogarty-Soft-Inlay clamp, can lead to clamp stenosis and seems to be related to the duration of clamping, but not to pre-existent atherosclerotic burden.

Keywords: Artery wall damage; Atherosclerosis; Clamp force; Stenosis; Vascular clamping.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arterial Occlusive Diseases / surgery*
  • Atherosclerosis / surgery
  • Blood Vessel Prosthesis*
  • Constriction
  • Female
  • Femoral Artery / surgery*
  • Follow-Up Studies
  • Graft Occlusion, Vascular / etiology*
  • Humans
  • Intraoperative Care
  • Male
  • Middle Aged
  • Popliteal Artery / surgery*
  • Prospective Studies
  • Time Factors