Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Axillofemoral bypass. Expectations and results.

R A Savrin, G T Record, D E McDowell

    Archives of Surgery (Chicago, Ill. : 1960)
    |September 1, 1986
    PubMed
    Summary

    Axillofemoral bypass using polytetrafluoroethylene (PTFE) grafts can be a viable option for limb salvage in high-risk patients. While graft patency remains high, patient survival rates are lower, highlighting the critical nature of these procedures.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Presentation and treatment of spontaneous aortocaval fistula.

    Southern medical journal·1997
    Same author

    Vena cava filter disruption and central migration due to accidental guidewire manipulation: a case report.

    Annals of vascular surgery·1996
    Same author

    A research proposal to study the impact of an automated charting and assessment system.

    Medinfo. MEDINFO·1995
    Same author

    Percutaneously placed dual-lumen silicone catheters for long-term hemodialysis.

    The American surgeon·1993
    Same author

    A naturalistic follow-up of panic patients after short-term pharmacologic treatment.

    Journal of clinical psychopharmacology·1993
    Same author

    Ileal loop to iliac artery fistula: a report of 2 cases.

    The Journal of urology·1992

    Area of Science:

    • Vascular Surgery
    • Grafting Procedures
    • Limb Salvage Interventions

    Background:

    • Peripheral artery disease often necessitates complex surgical interventions.
    • Limb salvage is a critical goal in managing severe peripheral artery disease.
    • Axillofemoral bypass is an alternative revascularization strategy for specific patient populations.

    Purpose of the Study:

    • To evaluate the outcomes of axillofemoral bypass using polytetrafluoroethylene (PTFE) grafts.
    • To assess graft patency and patient survival in patients undergoing this procedure for limb salvage.
    • To compare the efficacy of axillofemoral bypass with other revascularization techniques in high-risk individuals.

    Main Methods:

    • Retrospective study of 33 patients receiving axillofemoral or axillofemorofemoral PTFE grafts.
    • Follow-up period ranged from 6 to 60 months.
    • Analysis of operative mortality, amputation rates, graft patency, and patient survival.

    Main Results:

    • 30-day operative mortality was 7% (elective/urgent) and 67% (emergency).
    • Cumulative graft patency was 91% at 3 years and 75% at 5 years.
    • Patient survival was 54% at 3 years and 41% at 5 years, with graft patency exceeding survival.

    Conclusions:

    • Axillofemoral bypass with PTFE grafts provides acceptable long-term patency for limb salvage in select high-risk patients.
    • Graft patency rates surpass patient survival rates, underscoring the severity of underlying conditions.
    • This procedure serves as a valuable alternative to in situ aortofemoral grafts for specific indications.

    Related Experiment Videos