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Axillary-Femoral Bypass May Provide Inadequate Distal Perfusion Compared with In-Line Large Diameter Aortic

Michael R Go¹, Loren Masterson¹, Patrick S Vaccaro¹

¹Division of Vascular Diseases and Surgery, The Ohio State University Medical Center, Columbus, OH.

Annals of Vascular Surgery

|October 18, 2015

Summary

Axillary-femoral bypass can lead to hypoperfusion in younger patients. This study highlights risks of visceral, spinal, or extremity ischemia due to inadequate distal perfusion after aortic infection treatment.

Area of Science:

Vascular Surgery
Infectious Disease
Reconstructive Surgery

Background:

Axillary-femoral bypass is utilized for complex aortoiliac occlusive disease, particularly in patients unsuitable for aortic surgery or with aortic infections.

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This procedure is typically performed on older patients with comorbidities who can tolerate potential flow limitations from long, small-diameter grafts.