Related Experiment Videos
Extraperitoneal aorticobifemoral grafts
S Belcastro1, L Pavanelli, G B Dalla Valle
1Istituto di Patologia Chirurgica, Università di Ferrara.
The Italian Journal of Surgical Sciences
|January 1, 1989
Summary
The extra-peritoneal approach for aorticobifemoral grafting in 60 patients showed a low perioperative mortality of 1.7%. This method is safer for elderly patients, reducing shock risk compared to intraperitoneal methods.
Area of Science:
- Vascular Surgery
- Surgical Approaches
Background:
- Aorticobifemoral grafting is a common procedure for aortoiliac occlusive disease.
- Traditional intraperitoneal approaches carry risks, including shock associated with large laparotomies.
Purpose of the Study:
- To evaluate the safety and efficacy of an extra-peritoneal approach for aorticobifemoral grafting.
- To determine if this approach is suitable for a broader patient population, including the elderly.
Main Methods:
- Retrospective analysis of 60 patients undergoing extra-peritoneal aorticobifemoral grafting.
- Data collected included perioperative mortality and patient demographics (mean age 66).
Main Results:
- Perioperative mortality was low at 1.7% in the 60 cases.
- The extra-peritoneal approach was associated with reduced risk of shock compared to intraperitoneal methods.
- 28 patients underwent revascularization, with 3 receiving additional visceral artery grafts.
Conclusions:
- The extra-peritoneal approach to the abdominal aorta is a safer alternative to the intraperitoneal approach.
- This technique expands suitability for aorticobifemoral grafting to a greater number of elderly patients.