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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1987-7-8
|
| pubmed:abstractText |
Revascularization of the lower extremities may require an axillofemoral bypass when an aortobifemoral bypass is contraindicated. Thirty-one patients underwent axillounifemoral and 59 had an axillobifemoral bypass, with a mortality rate of 9%. The indication for operation was limb salvage in 67%, intra-abdominal sepsis in 21%, and disabling claudication in 12%. Cumulative survival, patency, and limb salvage rates were determined by life-table analysis. The cumulative patency and limb salvage rates (with standard errors) at 3 years were 68% +/- 8% and 78% +/- 9%, respectively. When stratified for type of operation, axillobifemoral bypass had a superior patency rate compared with axillounifemoral bypass (log rank = 3.882, p less than 0.05). There was no significant difference when patients were stratified for diabetes (log rank = 2.213, p = no significance [NS]), operative indication (disabling claudication vs. limb salvage) (log rank = 0.0005, p = NS), or outflow (no profundaplasty vs. profundaplasty) (log rank = 2.011, p = NS). We conclude that axillofemoral bypass is a reasonable alternative for revascularization in high-risk patients or in those patients in whom a transabdominal approach is contraindicated. We recommend aggressive use of the profunda femoris artery when the superficial femoral artery is occluded to achieve optimal results.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Jun
|
| pubmed:issn |
0741-5214
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
5
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
828-32
|
| pubmed:dateRevised |
2006-11-15
|
| pubmed:meshHeading |
pubmed-meshheading:3586180-Actuarial Analysis,
pubmed-meshheading:3586180-Adult,
pubmed-meshheading:3586180-Aged,
pubmed-meshheading:3586180-Arteriosclerosis,
pubmed-meshheading:3586180-Axillary Artery,
pubmed-meshheading:3586180-Diabetic Angiopathies,
pubmed-meshheading:3586180-Female,
pubmed-meshheading:3586180-Femoral Artery,
pubmed-meshheading:3586180-Follow-Up Studies,
pubmed-meshheading:3586180-Humans,
pubmed-meshheading:3586180-Intermittent Claudication,
pubmed-meshheading:3586180-Ischemia,
pubmed-meshheading:3586180-Leg,
pubmed-meshheading:3586180-Male,
pubmed-meshheading:3586180-Middle Aged,
pubmed-meshheading:3586180-Postoperative Complications,
pubmed-meshheading:3586180-Risk,
pubmed-meshheading:3586180-Vascular Patency
|
| pubmed:year |
1987
|
| pubmed:articleTitle |
Current indications for axillounifemoral and axillobifemoral bypass grafts.
|
| pubmed:publicationType |
Journal Article,
Comparative Study
|