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ARTICLE |

Axillary-Femoral Artery Bypass

JAMES F. GORMAN, MD; FREDERICK M. DOUGLASS, MD
Arch Surg. 1965;91(3):509-512. doi:10.1001/archsurg.1965.01320150139027.
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THE POOR-RISK patient with ischemia of the lower extremities secondary to aortoiliac occlusive disease represents a major problem in surgical management. Reconstructive arterial surgery, to be effective, must re-establish an adequate pulsatile blood flow at least to the level of a patent profunda femoris artery. Ideally, a direct antioplastic procedure, either synthetic graft replacement bypass or endarterectomy, will, in the majority of instances, provide a satisfactory outcome. However, there is a small group of patients in whom an intra-abdominal procedure of the above proportions would be associated with a prohibitive risk.

Recently several encouraging reports have appeared in the literature describing methods whereby the subclavian-axillary axis is utilized as the proximal source of blood flow to revascularize the lower extremity.1,2,3

It is the purpose of this paper to discuss our experiences with the axillary-femoral artery bypass as an elective and definitive means of salvaging the ischemic extremity in the

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