Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

The Natural History of Bilateral Aortofemoral Bypass Grafts for Ischemia of the Lower Extremities

The Natural History of Bilateral Aortofemoral Bypass Grafts for Ischemia of the Lower Extremities Abstract • Analysis of the immediate and long-term results in 180 patients undergoing bilateral aortofemoral bypass grafts for occlusive disease of the lower extremities showed the immediate graft limb patency in 360 graft limbs to be 99.2%. The cumulative ten-year graft limb patency was 66%. Factors associated with thrombosis of the graft limb revealed correlations for localized atherosclerotic disease of either the profunda femoris artery or the tibial trifurcation vessels. The highest correlation for graft limb thrombosis was with simultaneous lesions involving both the profunda femoris artery and tibial trifurcation vessels. The acute lower extremity salvage rate was 94%, and the ten-year cumulative extremity salvage for legs at risk of amputation was 85%. Postoperative symptoms correlated well with patency. Overall operative mortality was five patients out of 180 (2.5%). (Arch Surg 110:1300-1306, 1975) References 1. Voorhees AB Jr, Jaretzki A III, Blakemore AH: The use of tubes constructed from vinyon "N" cloth in bridging arterial defects . Ann Surg 135:332-336, 1952.Crossref 2. Szilagyi DE, Smith RF, deRusso FJ, et al: Contribution of abdominal aortic aneurysmectomy to prolongation of life . Ann Surg 164:678-699, 1966.Crossref 3. Szilagyi DE, Rodriguez FJ, Smith RF, et al: Late fate of arterial allografts: Observations 6 to 15 years after implantation . Arch Surg 101:721-733, 1970.Crossref 4. Darling RC, Linton RC: Durability of femoropopliteal reconstructions: Endarterectomy versus vein bypass grafts . Am J Surg 123:472-479, 1972.Crossref 5. Kouchoukos NT, Levy JF, Balfour JF, et al: Operative therapy for femoralpopliteal arterial occlusive disease . Circulation 35( (suppl 1) ):174-182, 1967.Crossref 6. Cutler SJ, Ederer F: Maximum utilization of the life table method in analyzing survival . J Chron Dis 8:699-712, 1958.Crossref 7. Snedercor GW, Cochran WG: Statistical Methods . Ames, Iowa, Iowa State University Press, 1967. 8. Barker WF: Peripheral arterial disease , in Major Problems in Clinical Surgery , Philadelphia, WB Saunders Co, vol 4, 1966. 9. Cohen LH, Moore WS, Hall AD: Extra-abdominal management of late aortofemoral graft thrombosis . Surgery 67:775-779, 1970. 10. DeBakey ME: Late results of vascular surgery in the treatment of arteriosclerosis . J Cardiovasc Surg 5:473, 1964. 11. Lyons JH Jr, Weismann RE: Surgical management of late closure of aortofemoral reconstruction grafts . N Engl J Med 278:1035-1037, 1968.Crossref 12. Mozersky DJ, Sumner DS, Strandness DE: Long-term results of reconstructive aortoiliac surgery . Am J Surg 123:503-509, 1972.Crossref 13. Baron HC, Purdy RT, Cabaluna W: Limb salvage in advanced lower extremity ischemia . Med Times 97:180-189, 1969. 14. Bernhard VM, Kayser K, Guiterrez JE, et al: Salvage of the ischemic limb: Hemodynamic changes during surgery . JAMA 204:234-240, 1968.Crossref 15. Dale WA: Salvage of arteriosclerotic legs by vascular repair . Ann Surg 165:844-852, 1967.Crossref 16. Mannick JA, Hume DM: Salvage of extremities by vein grafts in faradvanced peripheral vascular disease . Surgery 55:154-164, 1964. 17. Morris GC Jr, Edwards W, Cooley DA, et al: Surgical importance of the profunda femoris artery: Analysis of 102 cases with combined aortoiliac and femoropopliteal occlusive disease treated by revascularization of deep femoral artery . Arch Surg 82:32-37, 1961.Crossref 18. Roberts B, Hoffman D: Arterial grafting in severely ischemic legs . JAMA 166:1313, 1958.Crossref 19. DeBakey ME, Crawford ES, Cooley DA, et al: Surgical considerations of occlusive disease of the abdominal aorta and iliac and femoral arteries: Analysis of 803 cases . Ann Surg 148:306-324, 1958.Crossref 20. Goldstone J, Moore WS: Infection in vascular prostheses: Clinical manifestations and surgical management . Am J Surg 128:225-233, 1974.Crossref 21. Hoffert PW, Gensler S, Haimovici H: Infection complicating arterial grafts: Personal experience with 12 cases and review of the literature . Arch Surg 90:427-435, 1965.Crossref 22. Smith RF, Szilagyi DE: Healing complications with plastic arterial implants . Arch Surg 82:14-24, 1961.Crossref 23. Conn JH, Hardy JD, Chavez CM, et al: Infected arterial grafts: Experience in 22 cases with emphasis on unusual bacteria and techniques . Ann Surg 171:704-714, 1970.Crossref 24. Szilagyi DE, Smith RF, Elliott JP, et al: Infection in arterial reconstruction with synthetic grafts . Ann Surg 176:321, 1972.Crossref 25. Wheeler CG, Thompson JE, Kartchner MM, et al: Massive fluid requirement in surgery of the abdominal aorta . N Engl J Med 275:320-322, 1966.Crossref 26. Wesolowski SA, Martinez A, Domingo RT, et al: Indications for aortofemoral arterial reconstruction: A study of borderline risk patients . Surgery 60:288-298, 1966. 27. Najafi H, Dye WS, Javid H, et al: Late thrombosis affecting one limb of aortic bifurcation graft . Arch Surg 110:409-412, 1975.Crossref 28. Waibel PP, Wolff G: The collateral circulation in occlusions of the femoral artery: An experimental study . Surgery 60:912-918, 1966. 29. Benson JR, Wheeler TJ, Cohen A, et al: Combined aortoiliac and femoropopliteal occlusive disease: Limitations of total aortofemoropopliteal bypass . Ann Surg 163:121-130, 1966.Crossref 30. Leeds FH, Gilfillan RS: Revascularization of the ischemic limb . Arch Surg 82:25-31, 1961.Crossref 31. Moore WS, Cafferata HT, Hall AD, et al: In defense of grafts across the inguinal ligament: An evaluation of early and late results of aortofemoral bypass grafts . Ann Surg 168:207, 1968.Crossref 32. Healey SJ, Wheeler HB, Crane C, et al: Reconstructive operations for aortoiliac obliterative disease: Results and reflections from an 11-year experience . N Engl J Med 271:1386-1391, 1964.Crossref 33. Buscaglia LC, Moore WS, Hall AD: False aneurysm after carotid endarterectomy . JAMA 209:1529, 1969.Crossref 34. Moore WS, Hall AD: Late suture failure in the pathogenesis of anastomotic false aneurysm . Ann Surg 172:1064-1068, 1970.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

The Natural History of Bilateral Aortofemoral Bypass Grafts for Ischemia of the Lower Extremities

Download PDF
7 pages

Loading next page...
 
/lp/american-medical-association/the-natural-history-of-bilateral-aortofemoral-bypass-grafts-for-LBIKbnEOjp

References (37)

Publisher
American Medical Association
Copyright
Copyright © 1975 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1975.01360170040005
Publisher site
See Article on Publisher Site

Abstract

Abstract • Analysis of the immediate and long-term results in 180 patients undergoing bilateral aortofemoral bypass grafts for occlusive disease of the lower extremities showed the immediate graft limb patency in 360 graft limbs to be 99.2%. The cumulative ten-year graft limb patency was 66%. Factors associated with thrombosis of the graft limb revealed correlations for localized atherosclerotic disease of either the profunda femoris artery or the tibial trifurcation vessels. The highest correlation for graft limb thrombosis was with simultaneous lesions involving both the profunda femoris artery and tibial trifurcation vessels. The acute lower extremity salvage rate was 94%, and the ten-year cumulative extremity salvage for legs at risk of amputation was 85%. Postoperative symptoms correlated well with patency. Overall operative mortality was five patients out of 180 (2.5%). (Arch Surg 110:1300-1306, 1975) References 1. Voorhees AB Jr, Jaretzki A III, Blakemore AH: The use of tubes constructed from vinyon "N" cloth in bridging arterial defects . Ann Surg 135:332-336, 1952.Crossref 2. Szilagyi DE, Smith RF, deRusso FJ, et al: Contribution of abdominal aortic aneurysmectomy to prolongation of life . Ann Surg 164:678-699, 1966.Crossref 3. Szilagyi DE, Rodriguez FJ, Smith RF, et al: Late fate of arterial allografts: Observations 6 to 15 years after implantation . Arch Surg 101:721-733, 1970.Crossref 4. Darling RC, Linton RC: Durability of femoropopliteal reconstructions: Endarterectomy versus vein bypass grafts . Am J Surg 123:472-479, 1972.Crossref 5. Kouchoukos NT, Levy JF, Balfour JF, et al: Operative therapy for femoralpopliteal arterial occlusive disease . Circulation 35( (suppl 1) ):174-182, 1967.Crossref 6. Cutler SJ, Ederer F: Maximum utilization of the life table method in analyzing survival . J Chron Dis 8:699-712, 1958.Crossref 7. Snedercor GW, Cochran WG: Statistical Methods . Ames, Iowa, Iowa State University Press, 1967. 8. Barker WF: Peripheral arterial disease , in Major Problems in Clinical Surgery , Philadelphia, WB Saunders Co, vol 4, 1966. 9. Cohen LH, Moore WS, Hall AD: Extra-abdominal management of late aortofemoral graft thrombosis . Surgery 67:775-779, 1970. 10. DeBakey ME: Late results of vascular surgery in the treatment of arteriosclerosis . J Cardiovasc Surg 5:473, 1964. 11. Lyons JH Jr, Weismann RE: Surgical management of late closure of aortofemoral reconstruction grafts . N Engl J Med 278:1035-1037, 1968.Crossref 12. Mozersky DJ, Sumner DS, Strandness DE: Long-term results of reconstructive aortoiliac surgery . Am J Surg 123:503-509, 1972.Crossref 13. Baron HC, Purdy RT, Cabaluna W: Limb salvage in advanced lower extremity ischemia . Med Times 97:180-189, 1969. 14. Bernhard VM, Kayser K, Guiterrez JE, et al: Salvage of the ischemic limb: Hemodynamic changes during surgery . JAMA 204:234-240, 1968.Crossref 15. Dale WA: Salvage of arteriosclerotic legs by vascular repair . Ann Surg 165:844-852, 1967.Crossref 16. Mannick JA, Hume DM: Salvage of extremities by vein grafts in faradvanced peripheral vascular disease . Surgery 55:154-164, 1964. 17. Morris GC Jr, Edwards W, Cooley DA, et al: Surgical importance of the profunda femoris artery: Analysis of 102 cases with combined aortoiliac and femoropopliteal occlusive disease treated by revascularization of deep femoral artery . Arch Surg 82:32-37, 1961.Crossref 18. Roberts B, Hoffman D: Arterial grafting in severely ischemic legs . JAMA 166:1313, 1958.Crossref 19. DeBakey ME, Crawford ES, Cooley DA, et al: Surgical considerations of occlusive disease of the abdominal aorta and iliac and femoral arteries: Analysis of 803 cases . Ann Surg 148:306-324, 1958.Crossref 20. Goldstone J, Moore WS: Infection in vascular prostheses: Clinical manifestations and surgical management . Am J Surg 128:225-233, 1974.Crossref 21. Hoffert PW, Gensler S, Haimovici H: Infection complicating arterial grafts: Personal experience with 12 cases and review of the literature . Arch Surg 90:427-435, 1965.Crossref 22. Smith RF, Szilagyi DE: Healing complications with plastic arterial implants . Arch Surg 82:14-24, 1961.Crossref 23. Conn JH, Hardy JD, Chavez CM, et al: Infected arterial grafts: Experience in 22 cases with emphasis on unusual bacteria and techniques . Ann Surg 171:704-714, 1970.Crossref 24. Szilagyi DE, Smith RF, Elliott JP, et al: Infection in arterial reconstruction with synthetic grafts . Ann Surg 176:321, 1972.Crossref 25. Wheeler CG, Thompson JE, Kartchner MM, et al: Massive fluid requirement in surgery of the abdominal aorta . N Engl J Med 275:320-322, 1966.Crossref 26. Wesolowski SA, Martinez A, Domingo RT, et al: Indications for aortofemoral arterial reconstruction: A study of borderline risk patients . Surgery 60:288-298, 1966. 27. Najafi H, Dye WS, Javid H, et al: Late thrombosis affecting one limb of aortic bifurcation graft . Arch Surg 110:409-412, 1975.Crossref 28. Waibel PP, Wolff G: The collateral circulation in occlusions of the femoral artery: An experimental study . Surgery 60:912-918, 1966. 29. Benson JR, Wheeler TJ, Cohen A, et al: Combined aortoiliac and femoropopliteal occlusive disease: Limitations of total aortofemoropopliteal bypass . Ann Surg 163:121-130, 1966.Crossref 30. Leeds FH, Gilfillan RS: Revascularization of the ischemic limb . Arch Surg 82:25-31, 1961.Crossref 31. Moore WS, Cafferata HT, Hall AD, et al: In defense of grafts across the inguinal ligament: An evaluation of early and late results of aortofemoral bypass grafts . Ann Surg 168:207, 1968.Crossref 32. Healey SJ, Wheeler HB, Crane C, et al: Reconstructive operations for aortoiliac obliterative disease: Results and reflections from an 11-year experience . N Engl J Med 271:1386-1391, 1964.Crossref 33. Buscaglia LC, Moore WS, Hall AD: False aneurysm after carotid endarterectomy . JAMA 209:1529, 1969.Crossref 34. Moore WS, Hall AD: Late suture failure in the pathogenesis of anastomotic false aneurysm . Ann Surg 172:1064-1068, 1970.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Nov 1, 1975

There are no references for this article.