Kinking of Axillobifemoral Bypass Graft: A case report
- Author:
Geun Eun KIM
1
;
Yong Pil CHO
;
Byung Uk CHOI
;
Tae Won KWON
Author Information
1. Department of Vascular Surgery, Ulsan University, College of Medicine Asan Medical Center, Korea.
- Publication Type:Case Report
- Keywords:
Axillofemoral bypass;
Kinking
- MeSH:
Aged;
Humans;
Prostheses and Implants;
Risk Factors;
Transplants
- From:Journal of the Korean Society for Vascular Surgery
1997;13(1):120-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Axillofemoral bypass has been the preferred procedure for high risk patients who have aorto-iliac occlusive disease since the introduction of the procedure by Blaisdell in 1963. Widespread use of axillo- femoral bypass was limited in the past because long-term patency rates were inferior to aorto-femoral bypass. Since the mid-1980s, patency rates achieved with axillofemoral bypass have improved with the use of the externally supported prosthesis and the evolution of surgical thchnique. Reported pimary patency of axillo-femoral bypass is in excess of 70% at 5 years. Nowadays axillo-femoral bypass is a procedure of choice in elderly patients with associated comorbid risk factors, and its results is comparable to aorto-femoral bypass.The authors experienced one case of graft malfunction due to kinking of the graft at mid-portion which may not be infrequent.
