Combined aortobifemoral and femoropopliteal bypass in the management of patients with extensive atherosclerosis |
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Authors: | John Eidt MD David Charlesworth DSc MD FRCS |
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Affiliation: | (1) Department of Surgery, Brigham and Women’s Hospitals, Boston, Massachusetts;(2) Department of Surgery, University Hospital of South Manchester, Nell Lane, West Didsbury, M20 8LR Manchester, UK |
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Abstract: | Certain patients have atherosclerosis in both aortoillac and femoropopliteal segments of the arterial tree and thus do not have a good result from reconstruction of the aortoiliac segment. No method has been developed to identify these patients and we do not know whether, by combining a femoropopliteal bypass with an aortobifemoral bypass, the results can be improved. We present a series of 153 patients with severe multilevel occlusive disease treated by simultaneous reconstruction and followed for up to 6.5 years. The cumulative patency of the femoropopliteal bypasses was 80% at four years. Functional and symptomatic improvement was excellent, and operative mortality was low when one considers the age and poor general condition of the patients. |
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Keywords: | Atherosclerosis Aortoblfermoral bypass Femoropopliteal bypass Combined aortobifemoral and femoropopliteal bypass |
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