This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in Web of Science Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Maekawa, T. Articles by Matsumoto, T. Search for Related Content PubMed Articles by Maekawa, T. Articles by Matsumoto, T. Social Bookmarking                         What's this?

Femorofemoral Bypass: An Analysis of 53 Femorofemoral Grafts

Visiting Research Fellow, Department of Surgery II, Fukuoka University, Fukuoka, Japan

Morris D. Kerstein, MD, FACA

Division of Vascular Surgery, Department of Surgery, Allegheny University Hospitals/Allegheny University of the Health Sciences, Medical College of Pennsylvania/Hahnemann University, Philadelphia, Pennsylvania

Toshihiro Onohara, MD

Visiting Research Fellow, Department of Surgery II, Fukuoka University, Fukuoka, Japan

Thomas E. Arnold, MD

Division of Vascular Surgery, Department of Surgery, Stony Brook Health Sciences Center, University at Stony Brook, Stony Brook, New York

Ralph Ierardi, MD

Teruo Matsumoto, MD, PhD, FACA

Division of Vascular Surgery, Department of Surgery, Allegheny University Hospitals/Allegheny University of the Health Sciences, Medical College of Pennsylvania/Hahnemann University, Philadelphia, Pennsylvania

The indications, complications, mortality, and patency rates of 53 femorofemoral (F-F) bypass grafts during a 10-year period were analyzed. Forty-two of the 53 (79%) procedures were for atherosclerotic disease (Group I): 16 (38%) F-F grafts alone, nine (21%) with iliac artery balloon angioplasty (IABA), 13 (31%) with femorodistal (F-D) bypass, and four (10%) with both IABA and F-D bypass. Eleven of the 53 (21%) patients with acute ischemia were treated with F-F grafts alone after intraaortic balloon pumping (IABP) (Group II). Two (4%) occlusions occurred within 30 days in F-F grafts performed with F-D grafts, and seven (13%) occluded late. The cumulative patency rate for F-F grafts alone was 72% at 5 years and 59% at 10 years, and for F-F grafts with additional procedures was 24% at 5 years and 14% at 10 years. Total cumulative patency rate for 5 years was 60%. The 30-day mortality rate was 6%; the 5-year mortality rate was 17% (9/53), and the cumulative 10-year mortality rate was 42% (22/53).

Vascular and Endovascular Surgery, Vol. 33, No. 4, 401-404 (1999)
DOI: 10.1177/153857449903300413


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?