Vol 86: Long-term outcome of crossover femoro-femoro-popliteal bypass using side-to-side anastomosis in ilio-femoral occlusive disease.Report as inadecuate



 Vol 86: Long-term outcome of crossover femoro-femoro-popliteal bypass using side-to-side anastomosis in ilio-femoral occlusive disease.


Vol 86: Long-term outcome of crossover femoro-femoro-popliteal bypass using side-to-side anastomosis in ilio-femoral occlusive disease. - Download this document for free, or read online. Document in PDF available to download.

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This article is from Annals of Surgical Treatment and Research, volume 86.AbstractPurpose: During crossover femoro-femoro-popliteal sequential bypass CFFPB surgery in ilio-femoral occlusive disease, proximal anastomosis of the femoro-popliteal bypass is usually performed distal to the distal anastomosis of the crossover femoro-femoral bypass. If not, it is done with a piggyback configuration. Another method is a side-to-side anastomosis. Its benefit is that this is the only anastomosis made. And it is less bulky compared with the piggyback configuration. This study was aimed to investigate the long-term outcome of CFFPB using side-to-side anastomosis. Methods: From Sep 2006 to Aug 2012, 21 patients who underwent CFFPB using side-to-side anastomosis were enrolled. Externally supported polytetrafluoroethylene graft was used as a conduit in all patients. Patient demographic data and procedure details were investigated. Primary graft patency was calculated using the Kaplan-Meier method. Results: The mean age of patients was 79 years range, 62-81 years and males were 17 81%. Fifteen patients 71% had critical limb ischemia. Inflow arteries comprised of 16 common femoral artery CFA, 4 superficial femoral artery SFA, and 1 deep femoral artery DFA. Side-to-side anastomosis was performed on the CFA in 11, SFA in 2, and DFA in 8 patients. During the mean follow-up period of 21 months 1-60 months, 8 patients died. The 1-, 3-, and 5-year primary patency rates were 76%, 63%, and 63%. Conclusion: Long-term patency of CFFPB using side-to-side anastomosis was acceptable. It can be one of the treatment options for patients with ilio-femoral occlusive disease.



Author: Kim, Yoon-Sub; Yun, Woo-Sung; Park, Kihyuk

Source: https://archive.org/







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