Related Experiment Videos
Eighteen-year experience with femoro-femoral bypass
1Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Pokfulam, China.
Insights
Femoro-femoral bypass effectively treats aorto-iliac occlusive disease, achieving good limb salvage and graft patency. This surgical option remains valuable for high-risk patients needing intervention for unilateral iliac artery occlusion.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
Background:
- Femoro-femoral bypass has evolved in managing aorto-iliac occlusive disease.
- This study evaluates outcomes of femoro-femoral bypass grafts over 18 years.
Purpose of the Study:
- To assess early and long-term outcomes of femoro-femoral bypass.
- To determine the efficacy of this procedure for limb salvage.
Main Methods:
- Retrospective analysis of 61 patients from 1981-1998.
- Reviewed demographic data and surgical outcomes.
- Analyzed morbidity, mortality, graft patency, survival, and limb salvage rates.
Main Results:
- Postoperative morbidity was 16%, mortality 7%.
- Clinical success achieved in 79% of patients.
- 5-year graft patency was 71%; 3-year limb salvage was 85%.
Conclusions:
- Femoro-femoral bypass successfully relieved ischemic pain and salvaged limbs in ~80% of patients.
- Achieved a 5-year patency rate of 71%.
- Remains a valuable procedure for limb salvage in poor-risk patients with unilateral iliac artery occlusion.
Background:
The role of femoro-femoral bypass in the management of aorto-iliac occlusive disease has evolved during the past two decades. The aim of the present study was to evaluate the early and long-term outcomes of femoro-femoral bypass grafts performed at the University of Hong Kong Medical Centre during an 18-year period.
Methods:
From 1981 to 1998, a retrospective analysis of 61 patients who underwent femoro-femoral bypass at the University of Hong Kong Medical Centre was undertaken. Data on demographic features and results of surgical intervention were reviewed. Early outcomes (morbidity, mortality and improvement of clinical category) and long-term outcomes (graft patency, patient survival and limb salvage rates) were analysed.
Results:
The postoperative morbidity and mortality rates were 16% and 7%, respectively. Clinical success was achieved in 48 patients (79%) after operation. The primary patency of femoro-femoral bypass was 86%, 79% and 71% at 1, 3 and 5 years, respectively. The limb salvage rate was 85% at 3 years. The cumulative survival rate of the study population was 89%, 82% and 73% at 1, 3 and 5 years, respectively.
Conclusions:
Femoro-femoral bypass was successful in relieving ischaemic pain and limb salvage in approximately 80% of patients. A 5-year patency rate of 71% was achieved. Femoro-femoral bypass remains a valuable surgical procedure for limb salvage in poor-risk patients with unilateral iliac artery occlusion.