Abstract
While there is an abundance of information about the results of axillofemoral grafting in the North American literature there is little published data from this country. This may reflect a reluctance on the part of British surgeons to use the technique. In the years 1976-1981 we have performed 30 axillofemoral bypasses in 27 patients to alleviate critical ischaemia of the lower limb. Grafts were inserted to bypass aortoiliac occlusive disease in patients too old or too ill for an intra-abdominal operation. Thirty-three limbs were at risk of major amputation, 10 because of gangrene and 23 because of rest pain. Operative mortality was nil and complications were few. Only 38% of grafts remained patent for 2 years but results in terms of limb salvage were satisfactory. Only 3 major amputations were necessary and this confirms our view that the operation is a valuable alternative to intra-abdominal reconstruction in poor risk patients.
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Selected References
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- BLAISDELL F. W., HALL A. D. AXILLARY-FEMORAL ARTERY BYPASS FOR LOWER EXTREMITY ISCHEMIA. Surgery. 1963 Oct;54:563–568. [PubMed] [Google Scholar]
- Bliss B. P., Barrett G. S. Axillo-femoral and axillo-profunda bypass grafts. Their use for limb salvage in the bad-risk patient with occlusion or infection of the abdominal aorta and iliac arteries. Ann R Coll Surg Engl. 1972 Apr;50(4):268–273. [PMC free article] [PubMed] [Google Scholar]
- Eugene J., Goldstone J., Moore W. S. Fifteen year experience with subcutaneous bypass grafts for lower extremity ischemia. Ann Surg. 1977 Aug;186(2):177–183. doi: 10.1097/00000658-197708000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Graham J. C., Cameron A. E., Ismail H. I., Hamilton W. A., Law Y. F., Roberts V. C., Cotton L. T. Axillofemoral and femorofemoral grafts: a 6-year experience with emphasis on the relationship of peroperative flow measurement to graft survival. Br J Surg. 1983 Jun;70(6):326–331. doi: 10.1002/bjs.1800700607. [DOI] [PubMed] [Google Scholar]
- Johnson W. C., Logerfo F. W., Vollman R. W., Corson J. D., O'Hara E. T., Mannick J. A., Nabseth D. C. Is axillo-bilateral femoral graft an effective substitute for aortic-bilateral iliac/femoral graft?: an analysis of ten years experience. Ann Surg. 1977 Aug;186(2):123–129. doi: 10.1097/00000658-197708000-00001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Macpherson D. S., Bell P. R. The salvage of occluded Dacron grafts. Br J Surg. 1981 Apr;68(4):281–283. doi: 10.1002/bjs.1800680418. [DOI] [PubMed] [Google Scholar]
- Pollock A. V. Axillary-femoral by-pass grafts in the treatment of aorto-iliac occlusive disease. Br J Surg. 1972 Sep;59(9):704–707. doi: 10.1002/bjs.1800590905. [DOI] [PubMed] [Google Scholar]
- Ray L. I., O'Connor J. B., Davis C. C., Hall D. G., Mansfield P. B., Rittenhouse E. A., Smith J. C., Wood S. J., Sauvage L. R. Axillofemoral bypass: a critical reappraisal of its role in the management of aortoiliac occlusive disease. Am J Surg. 1979 Jul;138(1):117–128. doi: 10.1016/0002-9610(79)90251-4. [DOI] [PubMed] [Google Scholar]