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KMID : 0357019960120010050
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Journal of the Korean Vascular Surgery Society
1996 Volume.12 No. 1 p.50 ~ p.56
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Comparison of Proximal Aortic Anastomosis in Aorto-distal Bypass -End-to-End Anastomosis & Side-to-End Anastomosis-
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Abstract
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Most of aorto-iliac occlusive diseases were resulted from atherosclerosis. As atherosclerosis was progressing, the whole arterial tree of the body faced to occlusion or stenosis, expecially, the main branching sites of the distal abdominal aorta,
iliac,
or femoral artery. The methods of proximal aortic anastomosis for the reconstruction of aorto-iliac occlusion, or stenosis are still controversial, such as end-to-end, or side-to-end anastomosis. We, authors analyzed 162 cases of the patients who
received the aorto-iliac, or aortofemoral Y-graft at Department of Surgery, Kangnam St. Mary's Hospital, C.U.M.C., from Jan. 1991 to Dec. 1995. We intended to compare each result, and the effectivity of the proximal aortic anastomosis for the
reconstruction of aorto-iliac occlusion, or stensiss, such as end-to-end, or side to-end anastomosis.
@ES Authors concluded as follows:
@EN 1) No significant difference was noted between end-to-end and side-to-end anastomosis in the patency of graft from operation to discharge.
2) Side-to-end anastomosis might be more effective in aged patients to preserve more collaterals.
3) The application of each operative method should be adapted case by case, depending on the general condition of patients, the progress and location of atherosclerosis, and the experience of surgeon. But side-to-end anastomosis should be more
considered in young impotent patients.
4) The result of reconstruction for the aorto-iliac occlusive diseases can be variated by not only two operative methods, but also other combined variable factors. Therefore, further long term follow-up should be taken.
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KEYWORD
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