Biomaterial Database

Alternative procedures to aortobifemoral bypass grafting. 1989

R A Mason, and V B Smirnov, and G B Newton, and F Giron

Department of Surgery, School of Medicine, Health Science Center, State University of New York, Stony Brook.

The outcome of 175 bypass procedures performed on 174 patients with symptomatic aortoiliac occlusive disease during a five-year period were analyzed. Fifty-nine patients underwent a standard aortofemoral bypass and 116 patients underwent one of three alternative procedures consisting of femoro-femoral, iliofemoral, or axillofemoral bypass. The operative stress, morbidity, mortality and long-term results were compared. Although the aortofemoral group had a higher three-year cumulative patency rate (89% vs 81%), the alternative procedure group had a lower operative mortality (1.8% vs 7%). In addition, the patients in the alternative procedure group were slightly older, had a higher percentage of procedures performed for limb salvage, and had a less optimal run-off status, yet the complication rate was significantly less than that of the aortofemoral group (p less than 0.05). The use of these alternative procedures should be considered for patients with symptomatic aortoiliac disease, who represent a moderate operative risk as well as those in a high risk category.

UI	MeSH Term	Description	Entries
D007083	Iliac Artery	Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.	Deep Circumflex Iliac Artery,Arteries, Iliac,Artery, Iliac,Iliac Arteries
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005263	Femoral Artery	The main artery of the thigh, a continuation of the external iliac artery.	Common Femoral Artery,Arteries, Common Femoral,Arteries, Femoral,Artery, Common Femoral,Artery, Femoral,Common Femoral Arteries,Femoral Arteries,Femoral Arteries, Common,Femoral Artery, Common
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000714	Anastomosis, Surgical	Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.	Surgical Anastomosis,Anastomoses, Surgical,Surgical Anastomoses
D001011	Aorta	The main trunk of the systemic arteries.	Aortas
D001157	Arterial Occlusive Diseases	Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.	Arterial Obstructive Diseases,Arterial Occlusion,Arterial Obstructive Disease,Arterial Occlusions,Arterial Occlusive Disease,Disease, Arterial Obstructive,Disease, Arterial Occlusive,Obstructive Disease, Arterial,Occlusion, Arterial,Occlusive Disease, Arterial
D012307	Risk Factors	An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent.	Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D014654	Vascular Patency	The degree to which BLOOD VESSELS are not blocked or obstructed.	Patency, Vascular,Patencies, Vascular,Vascular Patencies