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Related Experiment Videos

Supraceliac aortofemoral bypass.

C S Canepa, P J Schubart, L M Taylor

    Surgery
    |March 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Supraceliac aorta to femoral artery bypass offers a viable solution for patients with complex aortoiliac disease and previous aortic surgeries. This procedure demonstrates high patency and limb salvage rates, even in challenging cases.

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    Area of Science:

    • Vascular Surgery
    • Cardiovascular Surgery
    • Surgical Innovation

    Background:

    • Aortoiliac disease presents challenges for standard surgical reconstruction.
    • Patients with multiple prior aortic operations often have contraindications for conventional procedures.
    • Axillofemoral bypass has limitations due to lower patency rates.

    Purpose of the Study:

    • To evaluate the efficacy of supraceliac aorta to femoral artery bypass in patients with failed prior aortic reconstructions.
    • To assess the patency and limb salvage rates of this alternative surgical approach.

    Main Methods:

    • Seven patients with limb-threatening ischemia and multiple previous aortic operations underwent prosthetic bypass from the supraceliac aorta to the femoral arteries.
    • Procedures utilized thoracoabdominal or flank incisions.

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  • Preferred graft configuration involved a Dacron tube from the aorta to the left groin, with a femorofemoral graft to the right groin.

    • Main Results:

    • No surgical deaths were reported.
    • Mean follow-up was 3.5 years.
    • One graft limb occlusion occurred, leading to amputation, resulting in a 93% life table patency and limb salvage rate.

    Conclusions:

    • Supraceliac to femoral artery bypass is a valuable option for treating patients with complex aortoiliac disease and a history of failed aortic reconstructions.
    • The procedure demonstrates excellent long-term patency and limb salvage.
    • This technique provides an alternative when standard infrarenal aortofemoral reconstruction is not feasible.