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Related Experiment Videos

Current state of extraanatomic bypasses.

J B Chang

    American Journal of Surgery
    |August 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    Extraanatomic bypass procedures offer a viable limb salvage option for high-risk patients. Axillo-bilateral femoral bypasses achieve 75% patency and 84% limb salvage at five years.

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    Area of Science:

    • Vascular Surgery
    • Cardiovascular Procedures

    Background:

    • Extraanatomic bypasses are an alternative for high-risk patients with complex vascular issues.
    • Limb salvage is a critical concern in patients with peripheral artery disease.

    Purpose of the Study:

    • To evaluate the efficacy of various extraanatomic bypass procedures for limb salvage.
    • To assess the long-term outcomes of axillo-bilateral femoral artery bypass and axilloaxillary artery bypass.

    Main Methods:

    • Retrospective analysis of 227 extraanatomic bypass procedures.
    • Evaluation of primary patency and limb salvage rates for different bypass types.
    • Assessment of outcomes for simultaneous axilloaxillary artery bypass and carotid endarterectomy.

    Main Results:

    Related Experiment Videos

    • Axillo-bilateral femoral artery bypass grafts demonstrated a 75% primary patency rate at 5 years, with 84% net limb salvage in survivors.
    • Axilloaxillary artery bypass grafts exhibited excellent long-term patency.
    • Simultaneous axilloaxillary artery bypass and carotid endarterectomy yielded symptom-free, long-term results with no added neurologic morbidity.

    Conclusions:

    • Extraanatomic bypass procedures provide a reasonable alternative for limb salvage in high-risk surgical patients.
    • Axillo-bilateral femoral and axilloaxillary bypasses are effective options for improving limb salvage and patency.
    • Combined axilloaxillary artery bypass and carotid endarterectomy is safe and effective for selected patients.