Femoral-femoral bypass. Non-invasive hemodynamic evaluation.
Seven patients who underwent femoral-femoral by pass between June 1980 and September 1982 underwent pre-operative angiography and pre and post-operative non-invasive evaluation to determine: (1) the hemodynamic effects created by the crossover graft, and (2) if angiographic findings would be predicative of post-operative results. The mean ankle/arm (a/a) index in the donor extremity changed from 0.82 +/- 0.20 to 0.70 +/- 0.27 (NS). The a/a index in the recipient extremity increased from 0.39 +/- 0.30 to 0.74 +/- (p less than 0.02). One patient developed a "steal" syndrome. There was no correlation between angiographic findings and post-operative changes. This study demonstrated a significant increase in recipient extremity ankle pressure and a clinically insignificant decrease in donor limb pressure.
D000368:Aged; D000842:Ankle / Q000098:blood supply; D001132:Arm / Q000098:blood supply; D001794:Blood Pressure; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007083:Iliac Artery / Q000473:pathology; D007511:Ischemia / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008722:Methods; D011674:Pulse; D012039:Regional Blood Flow