The iliac-origin arterial graft: a useful alternative for iliac occlusive disease.
The results of ilioiliac and iliofemoral bypass grafts were compared with those for aortic-origin grafts in 205 patients and 332 legs operated upon for aortoiliac occlusive disease since 1972. Poor-risk patients who had a patent distal aorta and at least one functionally patent proximal iliac artery were considered for reconstruction with the iliac artery used for the proximal anastomosis. The procedure, performed through a retroperitoneal approach, has several technical advantages and is especially satisfactory for patients who would otherwise have an axillofemoral graft. The data indicate that these iliac-origin reconstructions compare favorably in patency with aortic-origin reconstructions or with other "extra-anatomic" arterial reconstructions, enabling extremely low morbidity and mortality rates even in high-risk patients.
D001011:Aorta / Q000637:transplantation; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D004691:Endarterectomy; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006083:Graft Occlusion, Vascular / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000601:surgery / Q000637:transplantation*; D012086:Reoperation; D012306:Risk