Ten year outcomes after bypass surgery in aortoiliac occlusive disease

Abstract

PurposeMost outcome studies of bypass surgery are limited to five years of follow-up. However, as human life expectancy has increased, analyses of more long-term outcomes are needed. The aim of this study is to evaluate 10-year outcomes of anatomical bypasses in aortoiliac occlusive disease.MethodsFrom 1996 to 2009, 92 patients (82 males and 10 females) underwent aortic anatomical bypasses to treat aortoiliac occlusive disease at Samsung Medical Center. The patients were reviewed retrospectively. Kaplan-Meier survival analyses were performed using PASW ver. 18.0 (IBM Co).ResultsA total of 72 patients (78.3%) underwent aorto-femoral bypasses (uni- or bi-femoral), 15 patients (16.3%) underwent aorto-iliac bypasses (uni- or bi-iliac), and 5 patients (5.4%) underwent aorto-iliac and aorto-femoral bypasses. The overall primary patency rates of the 92 patients were 86.2% over 5 years and 77.6% over 10 years. The 10-year limb salvage rate and overall survival rate were 97.7% and 91.7%, respectively.ConclusionThe overall patency rates of bypass graft and limb salvage rates decreased as time passed. The analysis of results after bypass surgery to treat arterial occlusive disease will be needed to extend for 10 years of follow-up.

Leriche syndrome in a patient with acute pulmonary embolism and acute myocardial infarction: a case report and review of literature

“…Collateral vessels so-called choke vessels, always present along with the slowly-developing occlusions while acute aortic embolus extending from the inferior mesenteric artery to both external iliac arteries, could also happen [20,21]. Comorbidities such as AMI, dilated cardiomyopathy, ischemic bowel disease, gastric outlet obstruction, chronic obstructive pulmonary disease, chronic renal failure, and malignancy have been reported [7,18,22]. The preferred treatment regimen range from oral antiplatelet and lipid-lowering therapy to revascularization procedure, including balloon angioplasty, stenting, or bypass surgery [23,24].…”

Isolated mycotic hypogastric artery aneurysm

“…An in-line bypass was chosen because of the higher patency rates compared with extra-anatomic bypass. In addition, a femoral-femoral crossover bypass adds incisions in the bilateral groins but could be reserved for the unlikely event of graft failure or development of aneurysm in the cadaveric tissue 15, 16. We contemplated using superficial femoral vein for this procedure but chose cadaveric artery.…”

Critical lower limb ischemia in Leriche syndrome following acute myocardial infarction: limb salvage with an axillofemoral bypass

“…The management of distal aortic occlusive disease (Leriche syndrome) depends on surgical or non-surgical options. [6] The surgical treatment of Leriche syndrome can be performed either as direct anatomic (ABF) bypass or extra-anatomic (AXF) bypass. [8] Direct anatomic bypasses include aortoiliac and aortofemoral bypasses.…”

“…[5] Axillofemoral bypass is considered primarily as an alternative revascularization approach in patients with high-risk laparotomy or in whom an aortic approach is troublesome due to the previous abdominal infection or surgery. [6] It is also reserved as a more practical and relatively rapid procedure for elderly with worsened overall status and hemodynamic instability.…”