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Article (Scientific journals)
Axillounifemoral and Axillobifemoral Bypasses. Retrospective Study of 85 Cases
DUJARDIN, P.; LAVIGNE, Jean-Paul; Defraigne, Jean-Olivier et al.
1991In Acta Chirurgica Belgica, 91 (4), p. 155-60
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Abstract :
[en] From 1983 to 1990, 65 axillobifemoral and 20 axillofemoral bypasses have been performed in 85 patients (77 men and 8 women), with a mean age of 69 +/- 9 years. Indications for surgery were: severe aortoiliac occlusive disease (87%), sepsis of previous aortoiliac prosthesis, abdominal aorta aneurysm. Anatomic bypass was precluded for general (81%) or local (19%) conditions. In the last group, 9 patients have had previous laparotomy. Four patients presented with aortoenteric fistulas. Eighteen patients were operated on in emergency. The operative mortality was 12%, with 50% cardiac related deaths. Early primary patency was 98%. Early secondary patency was 100%. The mean follow-up is 28 +/- 15 months. The 3 years survival is 77%. The cumulative patency rates at 1 and 3 years are 89% and 76% respectively. Although axillobifemoral bypasses achieve poor long-term results when compared with aortoiliac bypasses, they can be considered in high risk patients. In this group of patients, the cumulative patency rate and the survival curves tend to be parallel.
Disciplines :
Surgery
Cardiovascular & respiratory systems
Author, co-author :
DUJARDIN, P.
LAVIGNE, Jean-Paul ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
Defraigne, Jean-Olivier ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Horion, C.
CREEMERS, Etienne ;  Centre Hospitalier Universitaire de Liège - CHU > Chirurgie cardio-vasculaire
Limet, Raymond ;  Université de Liège - ULiège > Département des sciences cliniques > Chirurgie cardio-vasculaire et thoracique
Language :
English
Title :
Axillounifemoral and Axillobifemoral Bypasses. Retrospective Study of 85 Cases
Publication date :
1991
Journal title :
Acta Chirurgica Belgica
ISSN :
1784-3421
eISSN :
2577-0160
Publisher :
Acta Medica Belgica, Bruxelles, Belgium
Volume :
91
Issue :
4
Pages :
155-60
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 01 August 2012

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