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Axillo-Femoral Bypass

The Division of Vascular Surgery, Department of Surgery, Long Island Jewish Medical Center, New Hyde Park, New York

Florence Chan

The State University of New York at Stony Brook, Stony Brook, New York

Axillo-femoral artery bypass has been an alternative extra-anatomic bypass procedure for aorto-iliac occlusive disease since its introduction in 1963. This extra-anatomic bypass has been used in special conditions where the conven tional aorto-femoral bypass is not possible because of intra-abdominal sepsis or extremely high operative risk for aortic procedure. In order to have reasonable long-term patency report, retrospective review is done on a patient undergoing axillo-femoral artery bypass grafting performed between 1976 to 1981. Twenty- eight axillo-unifemoral bypasses and 43 axillo-bifemoral bypasses were per formed in this period. Fifty percent of the patient population had multiple risk factors. Arteriosclerotic heart disease was found in 41 %, central nervous system problem and stroke were found in 31%. Twenty-five percent of the patients were diabetic. Five-year patency rate of axillo-bifemoral bypass graft was 75%. Axillo-unifemoral bypass had a five-year patency of 33%. Axillo-unifemoral bypass with femoral-distal bypass had a five-year patency rate of 6 to 8%. Ax illo-bilateral femoral bypass with femoral-distal bypass had 56.2% of a five- year patency. Overall, five-year patency, without thrombectomy was 60%.

Vascular and Endovascular Surgery, Vol. 20, No. 1, 27-35 (1986)
DOI: 10.1177/153857448602000105


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