[Cross over bypasses ilio-femoral and femoro-femoral. Indications and results about 60 cases].
The goal of this retrospective study is to review indications and results of cross over bypasses.


METHODS
between January 1990 and December 2000, 60 patients (all males with mean age = 60 years) underwent cross over bypass for unilateral iliac occlusive disease: femoro-femoral in 48%, ilio-femoral in 44% and ilio-popliteal in 8%.


RESULTS
mortality was 5% while complications occurred in 13.3%. Early limb salvage rate was 92%. During follow-up (mean: 32 months) we noticed 13 late thrombosis. The actuarial patency rate being at 83.5%, 74% and 67% at 1 year, 3 years and 5 years respectively.


CONCLUSIONS
cross over bypasses are technically simple with low morbidity and acceptable results. In addition to widely accepted indications (general or local unfavourable conditions to approach abdominal aorta), cross over bypasses may be considered as satisfactory challenge even in young patients with how operative risk.
Denguir
R
R
Service de chirurgie cardiovasculaire, hôpital la Rabta, 1007 Jabbari, Tunis, Tunisie. denguir.raouf@gnet.tn
Kaouel
K
K
Gharsallah
N
N
Khanfir
I
I
Ghedira
F
F
Kalfat
T
T
Khayati
A
A
Abid
A
A
D000367:Age Factors; D000368:Aged; D000714:Anastomosis, Surgical; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001167:Arteritis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D005263:Femoral Artery / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000473:pathology* / Q000601:surgery*; D007866:Leg / Q000098:blood supply / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D013927:Thrombosis / Q000209:etiology; D014656:Vascular Surgical Procedures / Q000379:methods*