Document Detail

Extra-anatomic reconstruction.
MedLine Citation:
PMID:  7638717     Owner:  NLM     Status:  MEDLINE    
Extra-anatomic bypass grafts have proven to be effective in bypassing infected regions, in avoiding hostile abdomens, and in patients with limited life expectancy. The extra-anatomic bypass graft can be used as a temporizing conduit while infected fields are definitively treated. The recommendation to expand the role of extra-anatomic bypass grafts over more direct revascularization with an aortobifemoral artery bypass graft must be critically evaluated. With advances in anesthesia and critical care management, the postoperative mortality for aortobifemoral bypass is 3% to 5%, with an incidence of myocardial infarction of 2%. Long-term primary patency of the aortofemoral bypass graft is 80% to 92% at 5 years. The 5-year primary patency rate for the axillofemoral bypass graft of 50% to 73% does not strongly support the expanded role of extra-anatomic bypass in otherwise healthy patients undergoing aortoiliac bypass. Yet the extra-anatomic bypasses have a vital role in the management of selected patients and should be in the armamentarium of all vascular surgeons.
J F McKinsey
Related Documents :
11455277 - Off-pump coronary artery bypass grafting. excellent results in a group of selected high...
23581627 - Hydrogen sulfide prevents heart failure development via inhibition of renin release fro...
24774547 - Coronary stent immobilization during angioplasty by transcoronary ventricular pacing vi...
8870807 - Microdialytic monitoring during a cardiovascular operation.
16246627 - Infective endocarditis complicating hypertrophic obstructive cardiomyopathy.
18287447 - 64-mdct angiography of the coronary arteries: nationwide survey of patient preparation ...
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  75     ISSN:  0039-6109     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  1995 Aug 
Date Detail:
Created Date:  1995-09-11     Completed Date:  1995-09-11     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  731-40     Citation Subset:  AIM; IM    
Department of Surgery, University of Chicago, Illinois, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Arterial Occlusive Diseases / surgery*
Axillary Artery / surgery
Femoral Artery / surgery
Leg / blood supply*
Popliteal Artery / surgery
Vascular Surgical Procedures / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Bypass grafts to the ankle and foot. A personal perspective.
Next Document:  The current status of prosthetic-vein composite grafts for lower extremity revascularization.