Extra-anatomic arterial bypass grafting in the management of aorta-iliac occlusive disease
10.3760/cma.j.issn.1673-4904.2009.08.008
- VernacularTitle:解剖外动脉旁路移植术治疗主髂动脉闭塞症
- Author:
Yunqing BAI
;
Ming QI
;
Zhongyi SHEN
;
Xiang HU
- Publication Type:Journal Article
- Keywords:
Arterial occlusive diseases;
Blood vessel prosthesis;
Artery bypass
- From:
Chinese Journal of Postgraduates of Medicine
2009;32(8):16-18
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the role of extra-anatomic arterial bypass grafting in the management of aorta-iliac occlusive disease. Methods Forty-one cases of aorta-iliac occlusive disease managed by extra-anatomic arterial bypass grafting were retrospectively analyzed. Clinical features included claudicafion 11, resting pain 12 and ulcer/gangrene 18 patients. Axillofemoral bypass was performed in 15 cases with aortic and bilateral iliac artery occlusion, femorofemoral bypass in 18 cases with unilateral iliac occlusion and femoro-cnntralateral popliteal bypass in 8 cases with iliac and ipsilateral femoral artery occlusion. Results Postoperatively, clinical features were reheved in 40 cases (97.6%). Ankle brachial index increased significandy from 0.41 ± 0.15 to 0.89 ± 0.21 perioperatively (P < 0.05 ).Thirty-five cases were followed up for 1 year to 5 years. The overall graft patency rates in this series were 93%, 86% and 80% in 1, 3 and 5 years, respectively. Conclusion Extra-anatomic arterial bypass has merits as less invasive and rapid postoperative recovery, and this is one of the effective methods for the treatment of aorta-iliac occlusive disease.
