Comparison of axillofemoral and aortofemoral bypass for aortoiliac occlusive disease

Purpose: A comparison of aortofemoral bypass grafting (AOFBG) and axillofemoral bypass grafting (AXFBG) for occlusive disease performed by the same surgeons during a defined interval forms the basis for this report. Methods: Data regarding all patients who underwent AOFBG or AXFBG for lower-extremit...

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Bibliographic Details
Published in:Journal of vascular surgery 1996-02, Vol.23 (2), p.263-271
Main Authors: Passman, Marc A., Taylor, Lloyd M., Moneta, Gregory L., Edwards, James M., Yeager, Richard A., McConnell, Donald B., Porter, John M.
Format: Article
Language:English
Subjects:
Adult
Age Factors
Aged
Aged, 80 and over
Amputation
Aorta - surgery
Aortic Diseases - surgery
Arterial Occlusive Diseases - surgery
Axillary Artery - surgery
Femoral Artery - surgery
Follow-Up Studies
Heart Diseases - complications
Humans
Iliac Artery - surgery
Ischemia - surgery
Leg - blood supply
Leg - surgery
Life Tables
Middle Aged
Postoperative Complications
Prospective Studies
Registries
Survival Rate
Vascular Patency
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Summary:Purpose: A comparison of aortofemoral bypass grafting (AOFBG) and axillofemoral bypass grafting (AXFBG) for occlusive disease performed by the same surgeons during a defined interval forms the basis for this report. Methods: Data regarding all patients who underwent AOFBG or AXFBG for lower-extremity ischemia caused by aortoiliac occlusive disease were prospectively entered into a computerized vascular registry. The decision to perform AOFBG rather than AXFBG was based on assessment of surgical risk and the surgeon's preference. This report describes results for surgical morbidity, mortality, patency, limb salvage, and patient survival for procedures performed from January 1988 through December 1993. Results: We performed 108 AXFBGs and 139 AOFBGs. AXFBG patients were older (mean age, 68 years compared with 58 years for AOFBG, p < 0.001), more often had heart disease (84% compared with 38%, p < 0.001), and more often underwent surgery for limb-salvage indications (80% compared with 42%, p < 0.001). No significant differences were found in operative mortality (AXFBG, 3.4%; AOFBG,
ISSN:0741-5214
1097-6809
DOI:10.1016/S0741-5214(96)70270-7