title: [Extra-anatomic ilio- or femoro-femoral bypass].
abstract: Twenty-six extra-anatomical by pass operations were performed for iliofemoral arterial lesions (23 crossed, 3 homolateral) due to severe atheroma (22 cases), infection (the 3 homolateral shunt) or iliac aneurysm (1 case). Limb saving was obtained in 73% of patients in whom vitality of limbs was involved. Permeability for crossed by pass procedure was as high as 92% at 1 year follow up. Operative techniques are discussed with emphasis on the need for good iliac artery flow and a sufficient distal vascular bed on the donor side. Indications for operation in this series were mainly poor general condition and/or associated affections (coronary disease in 1 out of 2 cases), but they should be enlarged because of the relative simplicity of the procedure.
mesh_terms: D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001161:Arteriosclerosis / Q000601:surgery; D001424:Bacterial Infections / Q000209:etiology; D001807:Blood Vessel Prosthesis / Q000009:adverse effects; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006439:Hemodynamics; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012306:Risk; D014652:Vascular Diseases / Q000150:complications; D014680:Veins / Q000637:transplantation
vernacular_title: Pontages ilio ou fémoro-fémoraux extra-anatomiques.