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Related Experiment Videos

[Aortofemoral bypass: gold-standard or outdated?].

J Cron1, C Cron, J P Cron

  • 1Clinique Sarrus-Teinturiers, 49 Allée Charles de Fitte, 31076 Toulouse. j.cron@wanadoo.fr

Journal Des Maladies Vasculaires
|February 24, 2004
PubMed
Summary
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Aorto-bifemoral bypass for aortoiliac occlusion is safe, with complications rarely leading to death or amputation. This procedure remains a benchmark for evaluating new revascularization methods.

Area of Science:

  • Vascular Surgery
  • Surgical Outcomes
  • Medical Device Complications

Context:

  • Aortoiliac occlusion necessitates surgical intervention, with aorto-bifemoral bypass historically being a primary treatment.
  • Minimally invasive techniques are increasingly preferred, necessitating a clear understanding of aorto-bifemoral bypass morbidity.
  • This study evaluates complications in a large cohort undergoing aorto-bifemoral bypass by a single surgical team.

Purpose:

  • To analyze the incidence and course of complications following aorto-bifemoral bypass surgery.
  • To assess the impact of prosthesis-related complications on patient mortality and limb salvage.
  • To establish the safety profile of aorto-bifemoral bypass in the context of evolving treatment strategies.

Summary:

  • 720 patients underwent aorto-bifemoral bypass for occlusion between 1975-1996, with a mean follow-up of 9.6 years.

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  • Prosthesis complications occurred in 21.3% of patients, including infections, aneurysms, thrombosis, and strictures.
  • Complications led to death in 1.2% and amputation in 3.2% of patients, with late mortality attributed to the prosthesis being minimal.

    • Impact:

    • Despite numerous late complications, aorto-bifemoral bypass demonstrates a limited impact on overall mortality and amputation rates.
    • The study reinforces aorto-bifemoral bypass as a safe and reliable procedure.
    • It serves as a critical gold standard for comparing the outcomes of alternative revascularization techniques for aortoiliac occlusion.