title: A nine-year experience with crossover femoro-femoro-popliteal sequential bypass.
abstract: Multisegmental arterial occlusive disease may require a combined inflow and outflow procedure for optimal treatment of limb ischemia. Twenty-one patients with unilateral iliac artery stenosis or occlusion and ipsilateral superficial femoral artery occlusion underwent crossover femoro-femoro-popliteal sequential bypass during a 9-year period. Seventeen operations were for limb salvage. Patency rates were determined separately for each segment of the bypass. Primary patency rates for the femoro-femoral segment were 89%, 83%, and 57% at 1, 2, and 5 years, respectively. Primary patency rates for the femoro-popliteal segments were 68%, 62%, and 40% at 1, 2, and 5 years, respectively. Limb salvage rates were 100%, 90%, and 77% at 1, 2, and 5 years, respectively. This experience indicates that femoro-femoro-popliteal bypass is an effective treatment in selected patients with severe ischemia due to combined iliac artery and superficial femoral artery disease.
authors.affiliation: Department of Surgery, University of Illinois College of Medicine, Chicago.
authors.forename: M I
authors.initials: MI
authors.lastname: Ellenby
authors.forename: A P
authors.initials: AP
authors.lastname: Sawchuk
authors.forename: T H
authors.initials: TH
authors.lastname: Schwarcz
authors.forename: J P
authors.initials: JP
authors.lastname: Meyer
authors.forename: J
authors.initials: J
authors.lastname: Montalvo
authors.forename: D P
authors.initials: DP
authors.lastname: Flanigan
authors.forename: J J
authors.initials: JJ
authors.lastname: Schuler
mesh_terms: D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery; D001807:Blood Vessel Prosthesis; D005069:Evaluation Studies as Topic; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000601:surgery*; D013997:Time Factors; D014680:Veins / Q000637:transplantation*