[Crossed ilio- and femoro-femoral revascularizations. Apropos of 50 cases].
Results are reported after a mean follow up of 3 years (max: 8 years) of cross-over ilio- and femoro-femoral revascularizations performed in 50 patients for severe arterial disease of lower limbs. Mean age of the patients was 62 years. Operative mortality was nil and immediate permeability 98%. Five year actuarial curves showed a survival rate of 76%, and a permeability of 71% globally and of 85% in patients under 55 years of age. Limb conservation rate was 90% (amputations). Tolerance and reliability of these cross-over revascularizations are discussed, and precise details given of the anatomic and functional conditions of the donor limb that allow use of the method, the technique involved and the associated procedures on the donor arterial axis and the place of this cross-over type of surgery. It is concluded from analysis of the literature and the author's personal experience that ilio- or femoro-femoral bypass surgery is a well tolerated rational procedure. Its indication of choice is for iliac thromboses (arterial or prosthetic) in elderly patients exposed to the risk of an anatomic repair, but its use is also justified in young patients for aortic sparing by avoiding immediate performance of an aortofemoral revascularization.
Lecointre
B
B
Lefant
D
D
Cardon
A
A
Kerdiles
Y
Y
D000328:Adult; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D011184:Postoperative Period; D012189:Retrospective Studies; D013997:Time Factors
Revascularisations ilio et fémoro-fémorales croisées. A propos de 50 observations.