A comparison of the late patency rates of axillobilateral femoral and axillounilateral femoral grafts.

作者: LoGerfo Fw , Nabseth Dc , Weisel Rd , Mannick Ja , Corson Jd

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摘要: A total of 130 axillofemoral grafts were peformed in 120 patients from 1966 to present; 66 axillobilateral femoral moral and 64 axillounilateral grafts. The average patient age was years. indications for operation occlusive disease with rest pain or gangrene 102 patients, severe claudication four, bypass a thoracic aneurysm one. one month operative mortality rate 8 percent (ten patients). Four deaths occurred elderly operated upon as emergencies acute aortic occlusion. In the 126 elective cases, there six postoperative (4.7 percent). Twenty thrombectomies performed 15 which (75 percent) successful. unilateral 25 22 grafts, only eight (32 5 year patency by life-table method 74 37 This difference rates is statistically significant (p < 0.01). Average flow measured electromagnetic meter 621 c.c. per minute 11 273 minute. We attribute higher this increased flow. These data indicate that may be anticipation comparable conventional aortoiliac reconstruction should preference poor-risk requiring extra-anatomic disease.

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