Critical appraisal of femorofemoral crossover grafts

Pursell, R; Sideso, Ediri; Magee, T.R.; Galland, R. B.

doi:10.1002/bjs.4880

Cited by 25 publications

(14 citation statements)

References 18 publications

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“…Mingoli et al [10] reported the at 10 years primary and secondary patency rates were 48.1% and 63.2%, respectively, like our study. Consequently, the reports that included the 5-year results were much more common for FCB, which allows a more confident assessment of long-term patency [11,12]. …”

Section: Discussionmentioning

confidence: 99%

Long Term Outcomes of Femorofemoral Crossover Bypass Grafts

Park

Kim

et al. 2017

VSI

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PurposeFemorofemoral crossover bypass (FCB) is a good procedure for patients with unilateral iliac artery disease. There are many articles about the results of FCB, but most of them were limited to 5 years follow-up. The purpose of our study was to analysis the results of FCB with a 10-year follow-up period.Materials and MethodsBetween January 1995 and December 2010, 133 patients were operated in Samsung Medical Center (median follow-up: 58.8 months). We retrospectively analysed patient characteristics, the preoperative treatment, the operative procedure, and material used.ResultsThe indications for FCB were claudication in 110 and critical limb ischemia in 23 patients. Three patients were died due to myocardiac infarction, intracranial hemorrhage, and acute respiratory failure within 30 days after surgery. The one-year primary and secondary patency rates were 89% and 97%, the 5-year primary and secondary patency rates were 70% and 85%, and the 10-year primary and secondary patency rates were 31% and 67%. The 5-year and 10-year limb salvage rates were 97% and 95%, respectively.ConclusionOur long term analysis suggests that FCB might be a valuable alternative treatment modality in patients with unilateral iliac artery disease.

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Section: Discussionmentioning

confidence: 99%

Long Term Outcomes of Femorofemoral Crossover Bypass Grafts

Park

Kim

et al. 2017

VSI

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“…Because it was planned that the patient would undergo cesarean delivery, we were concerned that anticoagulant therapy may increase the risk of complications. Even though compared with aortofemoral bypass surgery, the cumulative 5‐year patency rate of femorofemoral bypass is relatively low (approximately 90% and 75%, respectively), femorofemoral bypass surgery can be considered during pregnancy under regional anesthesia, which is an important advantage in high‐risk patients . In addition, anticoagulant therapy is not required.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy management for a patient with graft occlusion after right iliac artery bypass surgery

Nakae

Matsuzaki

Egawa-Takata

et al. 2014

J of Obstet and Gynaecol

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We describe an extremely rare case of a pregnant woman who had a successful delivery despite developing bypass graft occlusion after right external iliac bypass surgery. External and common iliac artery bypass surgery is often performed when arteriosclerosis obliterans or thromboangiitis obliterans result in iliac artery occlusion or when revascularization is required because of iliac artery injury. Because arteriosclerosis obliterans and thromboangiitis obliterans rarely develop in young women or girls, most physicians have little experience with graft occlusion after iliac artery bypass surgery. Here we describe and discuss the published work pertaining to this extremely rare case.

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“…Regarding the long-term results, primary graft patency rates were 76%, 63%, and 63% at 1 year, 3 years, and 5 years after surgery, respectively. Reported 5-year patency rates of crossover femoro-femoral bypass range from 60% to 74% [2-6]. And those of femoro-AK popliteal bypass with PTFE graft were from 39% to 68% [7-9].…”

Section: Discussionmentioning

confidence: 99%

Long-term outcome of crossover femoro-femoro-popliteal bypass using side-to-side anastomosis in ilio-femoral occlusive disease

2014

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PurposeDuring crossover femoro-femoro-popliteal sequential bypass (CFFPB) surgery in ilio-femoral occlusive disease, proximal anastomosis of the femoro-popliteal bypass is usually performed distal to the distal anastomosis of the crossover femoro-femoral bypass. If not, it is done with a piggyback configuration. Another method is a side-to-side anastomosis. Its benefit is that this is the only anastomosis made. And it is less bulky compared with the piggyback configuration. This study was aimed to investigate the long-term outcome of CFFPB using side-to-side anastomosis.MethodsFrom Sep 2006 to Aug 2012, 21 patients who underwent CFFPB using side-to-side anastomosis were enrolled. Externally supported polytetrafluoroethylene graft was used as a conduit in all patients. Patient demographic data and procedure details were investigated. Primary graft patency was calculated using the Kaplan-Meier method.ResultsThe mean age of patients was 79 years (range, 62-81 years) and males were 17 (81%). Fifteen patients (71%) had critical limb ischemia. Inflow arteries comprised of 16 common femoral artery (CFA), 4 superficial femoral artery (SFA), and 1 deep femoral artery (DFA). Side-to-side anastomosis was performed on the CFA in 11, SFA in 2, and DFA in 8 patients. During the mean follow-up period of 21 months (1-60 months), 8 patients died. The 1-, 3-, and 5-year primary patency rates were 76%, 63%, and 63%.ConclusionLong-term patency of CFFPB using side-to-side anastomosis was acceptable. It can be one of the treatment options for patients with ilio-femoral occlusive disease.

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Critical appraisal of femorofemoral crossover grafts

Abstract: When obtaining informed consent, simply describing patency and limb salvage rates does not provide an accurate picture of the outcome of femorofemoral grafting.

Cited by 25 publications

References 18 publications

Long Term Outcomes of Femorofemoral Crossover Bypass Grafts

Long Term Outcomes of Femorofemoral Crossover Bypass Grafts

Pregnancy management for a patient with graft occlusion after right iliac artery bypass surgery

Long-term outcome of crossover femoro-femoro-popliteal bypass using side-to-side anastomosis in ilio-femoral occlusive disease

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