하지동맥폐쇄환자에서의 비해부학적 우회술의 임상적 고찰

Extra-anatomic bypass for Treatment of Leg Ischemia

  • Published : 1994.10.01

Abstract

Extra-anatomic bypass is indicated for the limb salvage of patients with threatened limb loss especially those who have high risk of infection and death after general anesthesia. We did extra-anatomic bypass procedure nineteen times over a seven year, two month period on sixteen patients. Their mean follow up period was 41.3 months. Male to female ratio was 7:1. Major complaints were resting pain[36.8%], claudication[31.6%], cyanosis[15.8%] and ulcerative change[15.8%]. Associated diseases were hypertension, tuberculosis, chronic renal failure, atrial fibrillation, complete heart block and laryngeal cancer. Postoperative patency rates were 76.9% at 1 year, 72.7% at 2 years and 70% at 3 years. Limb salvage rate was 78.9%. Postoperative mortality rate was 10.5%.

Keywords

References

  1. Calif Med J v.77 Operations on large arteries Freeman,N.E.;Leeds,F.H.
  2. Ann Surg v.151 Crossover graft for unilateral occlusive disease of the iliofemoral arteries McCaughan,J.J.;Kahn.S.F.
  3. Arch Surg v.105 Crossover femorofemoral grafts Brief,D.K.;Albert,J.;Parsonnet,V.;Newark,N.J.
  4. Acta Chir Scand Suppl v.555 Extra-anatomic bypass for treatment of leg ischemia DeFrang,R.;Lloyd,M.;Taylor,Jr.;Porter,J.M.
  5. Arch Surg v.114 Late results of extra-anatomic bypass Livesay,J.J.;Atkinson,J.B.;Busuttil,R.W.;Barker,W.F.;Machileder,H.I.
  6. Arch Surg v.113 Hemodynamic and angiographic guidelines in selection of patients for femorofemoral bypass Flanigan,D.P.;Pratt,D.G.;Goodreau,J.J.;Burnham,S.J.;Yao,J.S.T.;Bergan,J.J.
  7. Arch Surg v.110 Crossover femorofemoral grafts followed up five years or more Brief,D.K.;Brener,B.J.;Albert,J.;Parsonnet,V.
  8. Surgery v.54 Axillary-femoral artery bypass for lower extremity ischemia Blaisdell,F.W.;Hall,A.D.
  9. Lancet v.1 Splenic-to-femoral and axillary-to-femoral bypass grafts in diffuse atherosclerotic occlusive disease Louw,J.H.
  10. J Thorac Cardiovasc Surg v.20 Late results after extra-anaromic bypass routes Raithel,D.
  11. Surg v.81 A comparison of the late patency rates of axillo-bilateral femoral and zxillo-unilateral femoral grafts LoGerfo,F.W.;Johnson,W.C.;Corsun,J.D.(et al)
  12. Surgery v.148 Limb salvage and selectiviry Van De Water,J.M.;Thompson,R.R.;Laska,E.D.;Trudell,L.A.;Broffman,T.K.;Harrower,H.W.