The role of cross-over bypass graft in the treatment of acute ischaemia of the lower limb

Marcucci, Giustino and Antonelli, Roberto and Accrocca, Federico and Siano, Luca Maria and Giordano, Gioacchino Alessandro and Baldassarre, Emanuele and Mounayergi, Federica and Siani, Andrea (2007) The role of cross-over bypass graft in the treatment of acute ischaemia of the lower limb. Il giornale di chirurgia, 28 (6-7). pp. 277-280. ISSN 1971-145X

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Abstract

Introduction. The Authors reports their experience with the use of femoro-femoral cross-over bypass graft in the management of acute lower limb ischaemia. Patients and methods. Fourteen femoro-femoral bypass graft were performed for acute lower limb ischaemia due to unilateral thrombosis of iliac and femoral artery in 8 cases, late unilateral occlusion of a branch of previous aortobifemoral bypass in 3 cases, acute thrombosis of abdominal aorta in 2 cases and in the last one for an injury of common iliac artery during urological procedure. In all the cases the operations were carried out under local anaesthesia and a subcutaneous bypass with “C” shape type configuration with 8 mm Dacron prosthesis were performed. The first and second year primary and secondary patency rates and limb salvage rates were evaluated. Results. One and two year patency rate was 83.3 (10/12) and 70% (7/10) respectively. Secondary patency rate and limb salvage rate was 91.6% (11/12) and 80% (8/10) respectively. A tight amputation had to performed in 3 failed reconstruction (3/12, 25%). Two patient died within 30 days after surgery from acute myocardial infarct. In 1 case infection occurred and re-do femorofemoral cross-over bypass with saphenous vein was carried out (8.3%). Conclusions. Cross-over bypass is an attractive technique, especially in case of acute ischemia because of its simplicity, low morbidity and mortality, and good long term results.

Item Type:	Article
Uncontrolled Keywords:	Femoro-femoral cross-over bypass graft, Iliac artery disease; Bypass femoro-femorale cross-over, Patologia arterie iliach
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Chiara D'Arpa
Date Deposited:	04 Oct 2013 15:25
Last Modified:	04 Oct 2013 15:25
URI:	http://eprints.bice.rm.cnr.it/id/eprint/6093

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