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Iliofemoral bypass: a 10-year review
M Oliveira1, S E Wilson, R Williams
1Department of Surgery, West Los Angeles Veterans Administration Medical Center, California.
Cardiovascular Surgery (London, England)
|April 1, 1993
Summary
Iliofemoral bypass surgery for unilateral iliac occlusive disease showed a 72% 1-year patency rate. Graft failure was higher in patients with limb threat, impacting overall outcomes.
Area of Science:
- Vascular Surgery
- Cardiovascular Medicine
- Surgical Outcomes
Background:
- Unilateral iliac occlusive disease necessitates advanced surgical interventions.
- Iliofemoral bypass is a critical procedure for restoring blood flow in the iliac arteries.
- Assessing graft patency and patient outcomes is vital for evaluating surgical success.
Purpose of the Study:
- To review the experience with iliofemoral bypass surgery.
- To evaluate graft patency rates and patient outcomes in a cohort with unilateral iliac occlusive disease.
- To identify factors influencing the success of iliofemoral bypass.
Main Methods:
- Retrospective review of 19 patients who underwent iliofemoral bypass from 1981 to 1991.
- Analysis of medical records for 16 male patients (mean age 65 years).
- Assessment of pre- and post-operative ankle-brachial pressure index (ABPI).
Main Results:
- Cumulative graft patency was 72% at 1 year and 64% at 2-5 years.
- Graft failure occurred in 5 patients, all with preoperative threat of limb loss.
- Postoperative ABPI improved significantly in patients with claudication and limb threat.
Conclusions:
- Iliofemoral bypass offers a viable option for unilateral iliac occlusive disease.
- Graft patency rates are encouraging, but limb salvage indications present higher risks.
- Careful patient selection and risk factor management are crucial for optimizing iliofemoral bypass outcomes.