TY  - JOUR
T1  - LAte results of extra-anatomic bypass
AU  - Livesay JJ, Atkinson JB, Baker J, Busuttil RW, Barker WF, Machleder HI
Y1  - 1979/11/01
N1  - 10.1001/archsurg.1979.01370350062006
JO  - Archives of Surgery
SP  - 1260
EP  - 1267
VL  - 114
IS  - 11
N2  - • Clinical progress and results were reviewed in 100 consecutive patients who underwent extra-anatomic bypass procedures for brachiocephalic and aortoiliac occlusive disease during the past 15 years. Of 113 procedures in this group, extra-anatomic bypass of the brachiocephalic vessels, axillo-femoral bypass, and femorofemoral bypass were performed. Although these procedures were performed in high-risk patients to avoid intrathoracic and intra-abdominal reconstruction or to circumvent undesirable anatomic areas, a low operative mortality was achieved. Symptomatic improvement, augmented Doppler ankle pressure index, and high limb-salvage rate were noted. Life-table analysis has confirmed prolonged five-year graft patency. The suspected high-risk characteristic in this group was corroborated by high progressive mortality observed particularly after axillo-femoral bypass and was due primarily to the severity of associated diseases. Analysis of the late results of extraanatomic bypass confirms the safety and effectiveness of this procedure in poor-risk patients.(Arch Surg 114:1260-1267, 1979)
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1979.01370350062006
UR  - http://dx.doi.org/10.1001/archsurg.1979.01370350062006
ER  -