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KMID : 0371320010610060600
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Journal of the Korean Surgical Society
2001 Volume.61 No. 6 p.600 ~ p.603
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Clinical Experiences of the Arterial Bypass in Aortoiliac Occlusive Disease
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Kim Ick-Hee
Kim Dong-Ik
Huh Se-Ho
Lee Byung-Boong
Kim Duk-Kyung
Do Young-Soo
Lee Sun-Jung
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Abstract
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Purpose : To analysis of the clinical aspects of axillofemoral (AXFBG) and aortofemoral bypass (AOFBG) for aortoiliac occlusive disease
Methods : Between June 1996 and May 2001, 23 patients underwent AXFBG or AOFBG for lower extremity ischemia caused by aortoiliac occlusive disease at Samsung Medical Center. The decision to perform AXFBG or AOFBG was based on an assessment
of
surgical risk and the patient’s preference. We retrospectively analyzed the preoperative clinical status, risk factors and distal runoff scores affecting the patency rate as well as the clinical outcome following surgery.
Results : We performed 10 AXFBGs and 13 AOFBGs. The mean age was 67.8 years in AXFBG patients and 57.4 years in AOFBG patients. Limb salvage as an indication for surgery included 8 (80%) cases with AXFBG, as compared to 13(100%) cases with
AOFBG.
The mean follow-up period was 20.7 months in AXFBG and 21.8 months in AOFBG. The clinical improvement following surgery was statistically higher with AOFBG. The one-year and 2-year primary patency rates in AXFBG were 100% and 82% retrospectively.
All of
the grafts of AOFBG were patent during this follow-up period.
Conclusion : The clinical improvement was higher with AOFBG as compared to AXFBG. However AXFBG is a safe practice in high-risk patients.
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