Morbidity and mortality after aortofemoral grafting for peripheral limb ischaemia.
Over a 10-year period, aortofemoral grafting was employed in the revascularization of 484 limbs in 245 patients with peripheral limb ischaemia. Six patients (2.4%) died in the postoperative period, the most common cause of death being myocardial infarction. Forty-three patients (18%) developed significant non-fatal complications within 30 days of operation, half of whom required further surgery as a consequence. Thirty-seven patients suffered late graft-related complications of which graft thrombosis was the most common. Immediate graft patency was 98.4%, cumulative patency was 95% and 87% at 1 and 5 years respectively. False aneurysm formation was encountered in 3.3% of patients, deep graft sepsis in 1.6% and the phenomenon of 'non-healing' of grafts in 1.2%. Cumulative survival following elective surgery was 97% and 84% at 1 and 5 years respectively, and 89% and 72% for those undergoing limb salvage procedures.
Naylor
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Ah-See
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Engeset
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D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000401:mortality; D001012:Aorta, Abdominal / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000401:mortality; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology* / Q000401:mortality; D012189:Retrospective Studies