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Axillary-Femoral Bypass May Provide Inadequate Distal Perfusion Compared with In-Line Large Diameter Aortic Reconstruction.

Abstract：

:Axillary-femoral bypass is sometimes performed for complex aortoiliac occlusive disease in patients unfit for aortic surgery or in those with aortic infection. Typically, older patients with medical comorbidities that commonly accompany atherosclerotic or aneurysmal disease are involved and can tolerate the theoretic risk of limited flow volume associated with long, small diameter, axillary-femoral grafts. However, a subset of younger, healthier, more vigorous patients outside the typical atherosclerotic or aneurysmal demographic occasionally come to axillary-femoral bypass and may experience symptoms of distal hypoperfusion if flow volumes cannot meet demand. We present a series of patients with primary aortic infection treated with aortic ligation and axillary-femoral bypass, who then progressed to symptoms of visceral, spinal, or extremity ischemia from inadequate distal perfusion.

journal_name

Ann Vasc Surg

journal_title

Annals of vascular surgery

authors

Go MR,Masterson L,Vaccaro PS

doi

10.1016/j.avsg.2015.09.003

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

158.e11-4

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(15)00727-X

journal_volume

30

pub_type

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