Document Detail

The femoro-femoral cross-over bypass.
MedLine Citation:
PMID:  1922883     Owner:  NLM     Status:  MEDLINE    
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.
L N van Adrichem; D P van Berge Henegouwen; H J Lobach; C van der Werken
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Netherlands journal of surgery     Volume:  43     ISSN:  0167-2487     ISO Abbreviation:  Neth J Surg     Publication Date:  1991 Jun 
Date Detail:
Created Date:  1991-10-28     Completed Date:  1991-10-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8005043     Medline TA:  Neth J Surg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  67-70     Citation Subset:  IM    
Department of Surgery, St. Elisabeth Ziekenhuis, Tilburg, The Netherlands.
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MeSH Terms
Aged, 80 and over
Anastomosis, Surgical
Blood Vessel Prosthesis
Constriction, Pathologic / surgery
Femoral Artery / surgery*
Iliac Artery / radiography,  surgery*
Intermittent Claudication / surgery*
Ischemia / surgery*
Leg / blood supply*
Life Tables
Middle Aged
Vascular Patency

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

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