Arterial Reconstruction for Aorto-Iliac Obstructive Disease.

VernacularTitle:腸骨動脈領域の閉塞性疾患に対する血行再建術
Author: Susumu ISHIKAWA ; Yoshimi OOTANI ; Hajime YANAGISAWA ; Akio OOTAKI ; Kazuhiro SAKATA ; Tooru TAKAHASHI ; Hideaki ICHIKAWA ; Yasushi SATO ; Masahiro AIZAKI ; Yasuo MORISHITA
Publication Type:Journal Article
From:Japanese Journal of Cardiovascular Surgery 1993;22(2):73-76
CountryJapan
Language:Japanese
Abstract: Surgical interventions for aorto-iliac obstructive diseases were studied through the operative results. Eighteen patients underwent aorto-femeral bypass (AOF) and 23 who were over 70 years of age or who had serious preoperative complications had axillofemoral bypass (AXF). No perioperative death occurred in AOF patients, while the mortality rate of AXF patients was 8%. Postoperative ankle pressure indexes were significantly higher in AOF patients than in AXF patients. Follow-up graft patency rate was 100% in AOF patients at 54 months (mean), and 85% in AXF patients at 44 months respectively. AOF should be the first choice for patients with aorto-iliac obstructive disease, and AXF is suitable only for high-risk patients.