Document Detail

The role of cross-over bypass graft in the treatment of acute ischaemia of the lower limb.
MedLine Citation:
PMID:  17626773     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: The Authors reports their experience with the use of femoro-femoral cross-over bypass graft in the management of acute lower limb ischaemia. PATIENTS AND METHODS: Fourteen femoro-femoral bypass graft were performed for acute lower limb ischaemia due to unilateral thrombosis of iliac and femoral artery in 8 cases, late unilateral occlusion of a branch of previous aortobifemoral bypass in 3 cases, acute thrombosis of abdominal aorta in 2 cases and in the last one for an injury of common iliac artery during urological procedure. In all the cases the operations were carried out under local anaesthesia and a subcutaneous bypass with 'C' shape type configuration with 8 mm Dacron prosthesis were performed. The first and second year primary and secondary patency rates and limb salvage rates were evaluated. RESULTS: One and two year patency rate was 83.3 (10/12) and 70% (7/10) respectively. Secondary patency rate and limb salvage rate was 91.6% (11/12) and 80% (8/10) respectively. A tight amputation had to performed in 3 failed reconstruction (3/12, 25%). Two patient died within 30 days after surgery from acute myocardial infarct. In 1 case infection occurred and re-do femorofemoral cross-over bypass with saphenous vein was carried out (8.3%). CONCLUSIONS: Cross-over bypass is an attractive technique, especially in case of acute ischemia because of its simplicity, low morbidity and mortality, and good long term results.
G Marcucci; R Antonelli; F Accrocca; L M Siani; G A Giordano; E Baldassarre; F Mounayergi; A Siani
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Il Giornale di chirurgia     Volume:  28     ISSN:  0391-9005     ISO Abbreviation:  G Chir     Publication Date:    2007 Jun-Jul
Date Detail:
Created Date:  2007-07-13     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011768     Medline TA:  G Chir     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  277-80     Citation Subset:  IM    
S. Paolo Hospital, Civitavecchia, Division of Vascular and Endovascular Surgery, Roma, Italy.
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MeSH Terms
Acute Disease
Aged, 80 and over
Blood Vessel Prosthesis
Femoral Artery / surgery*
Ischemia / surgery*
Leg / blood supply*
Middle Aged
Vascular Surgical Procedures / methods

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