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Vascular and Endovascular Surgery
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Revascularization of the Lower Extremity : A Noninvasive Hemodynamic Comparison of Aorto-Femoral, Axillo-Femoral and Femoro-Femoral Bypass

Palani S. Rathnasami

Department of Thoracic and Cardiovascular Surgery, Winthrop-University Hospital, Mineola, New York, Department of Surgery, State University of New York at Stony Brook, Stony Brook, New York

George L. Hines

Department of Thoracic and Cardiovascular Surgery, Winthrop-University Hospital, Mineola, New York, Department of Surgery, State University of New York at Stony Brook, Stony Brook, New York

Thirteen patients who underwent aorto-bifemoral bypass (A-F), 12 who had femoro-femoral bypass (F-F), and 8 who had axillo-femoral bypass (Ax-F) were evaluated to compare the hemodynamic improvement of the individual proce dures by recording mean preoperative and postoperative ankle/arm pressure index (API) in symptomatic extremities..

Hemodynamic improvement as measured by API was the same for A-F, F-F, Ax- F. A decision about whether A-F, F-F, or Ax-F would be appropriate should be made by considerations other than the expected immediate hemodynamic bene fit, for there is no statistically significant difference in the hemodynamic im provement among these three common bypass procedures.

Vascular and Endovascular Surgery, Vol. 21, No. 2, 96-101 (1987)
DOI: 10.1177/153857448702100204
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