[Extra-anatomy axillary-femoral or femoro-femoral bypass grafting for the treatment of aorta-iliac occlusive disease].
OBJECTIVE
To study the result of extra-anatomy axillary-femoral or femoro-femoral bypass grafting which was performed to treat aorta-iliac arterial occlusive disease.


METHODS
From 1978 through 1997, 32 patients with aorta-iliac occlusive disease underwent extra-anatomy axillary-femoral or femoro-femoral bypass grafting at our hospital. Eighteen patients with aorta or bilateral iliac artery occlusive lesion underwent axillary-femoral artery bypass, including axillary-bifemoral artery bypass (2 patients). Fourteen patients with one side iliac arterial occlusive lesion received femoro-femoral bypass grafting. In who had had axillary-femoral artery bypass 18 patients, 8 received, pure silk prosthesis, and 10 Gore-Tex prosthesis. In femoro-femoral arterial bypass, pure silk prosthesis was given to 8 patients, saphenous vein to one, and Gore-Tex prosthesis to 7.


RESULTS
Follow-up for 5 years, a patency rate of 78% was achieved in femoro-femoral artery bypass, in which no different patency rate was found between pure silk prosthesis and Gore-Tex prosthesis. In axillary-femoral bypass, eight pure silk prostheses were occluded after 5-year follow-up. One of 10 Gore-Tex prostheses was occluded, and false aneurysm in groin was found in another patient.


CONCLUSIONS
This operation is easy and safe, it has less damage and no abdominal complication. The recovery of the patient is quick. Pure silk prostheses are only used in short segment femoro-femoral bypass grafting.
Ye
J
J
Vascular Surgery, Zhongshan Hospital, Shanghai Medical University, Shanghai 200032.
Wang
Y
Y
Fan
L
L
Chen
F
F
Fu
W
W
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta / Q000473:pathology / Q000601:surgery; D001157:Arterial Occlusive Diseases / Q000473:pathology / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*