Aortic Reconstruction vs Extra-anatomic Bypass and Angioplasty

摘要: • One hundred forty-eight patients were evaluated for inflow revascularization and stratified by age, vascular anatomy, medical history, cardiac functional class into aortic reconstruction (AR), extra-anatomic bypass (EAB), or iliac angioplasty based on a protocol that restricted AR to good-risk liberalized indications EAB. Fifty-five underwent with 1.8% mortality, myocardial infarction 12% morbidity, cumulative life-table patency of 94% at two years; 69 EAB no mortality negligible morbidity; was 93% years crossover femoral 83% axillofemoral grafts. Operative selection restricting better-risk liberalizing use may decrease overall patient morbidity without jeopardizing limb preservation. ( Arch Surg 1986;121:1166-1171)