J.Jpn. Surg. Soc.. 80(11): 1122-1124, 1979
Report on the annual meeting
EVALUATION OF SUBCUTANEOUS BYPASS GRAFTS FOR AORTOILIAC OCCLUSION: BROADENED INDICATIONS FOR FEMOROFEMORAL GRAFTS
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Second Department of Surgery, Kumamoto University School of Medicine Kou Hayakawa |
46 femorofemoral grafts have been performed in our institute for the past 10 years. The average follow-up was 38.3 months. There were 8 grafts closures, but 4 of these were revised by re-operation and remained patent. 8 patients died of other diseases.
41 of 46 bypass grafts have maintained patency to the present or until the death of the patient, and preoperative symptoms were improved.
The most important technical points in the procedure are 1) Endarterectomy and/or patchangioplasty of common and/or deep femoral arteries of recipient side have to be undergone actively for good run-off, if the arteries are stenotic, 2) The anastomoses of graft on both sides have to be performed at high portion of common femoral arteries, because characteristic Japanese style sitting posture might cause compression of the graft.
According to our results of femorofemoral grafts, we would conclude as follows ; 1) The long-term patency rate of femorofemoral graft is excellent. 2) The mortality and morbidity are lower than that of conventional aortofemoral reconstruction. 3) We believe that a wider use of this procedure is jus tified in younger, good-risk patients as well as those who could not be expected to tolerate major intraabdominal surgery.
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