| The femoro-femoral cross-over bypass. | |
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MedLine Citation:
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PMID: 1922883 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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From 1984 to 1990 64 patients (56 men and 8 women) with a mean age of 67.1 years (36-88 yrs.) were treated with a femoro-femoral cross-over bypass (45 primary and 19 secondary procedures). All patients had an occlusion of one iliac artery. In 26 patients there were factors that made a central reconstruction unattractive. These disorders were congestive heart failure, COPD, CVA, an age over 80 years, etc. In 19 patients an occlusion of one leg of a former aortobifemoral bypass determined the choice for cross-over bypass. Three patients died (5 per cent), two patients of the so-called redo-group (septicaemia, one patient and arteriojejunal fistula one patient), the third patient died after a primary femoro-femoral bypass (myocardial infarction). The overall patency rate after three years was 78 per cent. Especially primary cross-over bypasses showed a good outcome with a primary patency of 80 per cent and a secondary patency of 85 per cent after three years. Considering that 23 of the 45 (51 per cent) primary procedures were for treatment of critical ischaemia (stage III and IV of Fontaine), a favourable limb-salvage of 21 out of 23 (91 per cent) was obtained. The cross-over bypass can be recommended as first choice therapy for patients with a unilateral iliac artery occlusion. |
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Authors:
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L N van Adrichem; D P van Berge Henegouwen; H J Lobach; C van der Werken |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Netherlands journal of surgery Volume: 43 ISSN: 0167-2487 ISO Abbreviation: Neth J Surg Publication Date: 1991 Jun |
Date Detail:
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Created Date: 1991-10-28 Completed Date: 1991-10-28 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8005043 Medline TA: Neth J Surg Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 67-70 Citation Subset: IM |
Affiliation:
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Department of Surgery, St. Elisabeth Ziekenhuis, Tilburg, The Netherlands. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Anastomosis, Surgical Blood Vessel Prosthesis Constriction, Pathologic / surgery Female Femoral Artery / surgery* Humans Iliac Artery / radiography, surgery* Intermittent Claudication / surgery* Ischemia / surgery* Leg / blood supply* Life Tables Male Middle Aged Prognosis Vascular Patency |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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