Title: Extra-anatomical grafting for aorto-occlusive disease: the outcome in 133 procedures
Authors: Schroe, H ×
Nevelsteen, André
Suy, R #
Issue Date: Sep-1990
Series Title: Acta Chirurgica Belgica vol:90 issue:5 pages:240-3
Abstract: Between 1978 and 1988 133 extra-anatomical grafts were performed in patients presenting with aorto-iliac occlusive disease. These series include 50 cross-over grafts, 46 axillofemoral and 37 axillobifemoral grafts. The indication for operation was acute ischemia in 26.4%, claudication in 9.7% and limb salvage in 63.9% of cases. Perioperative mortality rate was 10.4%. The early patency rate decreased from 92% after cross-over grafting to 86% in the axillofemoral series and 8% of the patients needed a major amputation in the immediate postoperative period. With a mean follow-up of 32 months, 62% of the patients died within 5 years of the operation, 54% of deaths being due to cardiovascular complications. The 3-years patency rate decreased to 78% after cross-over grafting and 49% after axillofemoral grafting. The 3-year limb salvage rate decreased to 89% and 75% respectively. Although our results are definitely less favourable than those of direct aortofemoral grafting, they seem to support the further use of the cross-over graft in patients with unilateral occlusive disease. Axillofemoral grafting on the other hand should be preserved for limb saving reconstructions in high risk conditions.
ISSN: 0001-5458
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Vascular Surgery
× corresponding author
# (joint) last author

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