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[Aortoiliac arteriosclerosis treated with bypass surgery]

O Graadal1, J Pillgram-Larsen, H Dedichen

  • 1Kar/thoraxkirurgisk avdeling, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|November 10, 1994
PubMed
Summary

Aortoiliac/femoral bypass surgery using Dacron prostheses shows acceptable mortality and satisfactory long-term results for severe arteriosclerosis. Endovascular procedures offer an alternative for less severe cases.

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Area of Science:

  • Vascular Surgery
  • Cardiovascular Disease

Background:

  • Arteriosclerosis in the aortoiliac segment is a significant vascular condition.
  • Bypass surgery with Dacron bifurcation prostheses has been a primary treatment modality.

Purpose of the Study:

  • To evaluate the outcomes of aortoiliac/femoral bypass operations.
  • To assess the efficacy and safety of Dacron prostheses in treating aortoiliac arteriosclerosis.

Main Methods:

  • A retrospective analysis of 152 aortoiliac/femoral bypass operations performed between 1979 and 1988.
  • Evaluation of perioperative mortality, patient improvement, and graft patency rates.

Main Results:

  • Perioperative mortality was 2%.
  • 96% of patients reported improvement post-operation.

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  • Five-year primary and secondary graft patency rates were 84% and 88%, respectively.

    • Conclusions:

    • Aortoiliac/femoral bypass surgery demonstrates acceptable mortality and satisfactory long-term results for severe aortoiliac arteriosclerosis.
    • Surgical intervention should be reserved for patients with severe disease.
    • Endovascular procedures represent a viable alternative for patients with limited lesions.