Aortofemoral bypass grafting

Microvel

R. E. Lind, C. B. Wright, Thomas Gerald Lynch, W. C. Lamberth, E. E. Slaymaker, B. Brandt

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

One hundred seventy-five patients underwent elective aortofemoral bypass during the years from 1976 to 1979. One hundred eighteen of these patients received a knitted double velour prosthesis (Microvel®) and the remainder received standard knitted Dacron®. All patients had been followed for a minimum of 12 months. Early graft thrombosis occurred in three limbs, and these were restored by reoperation for 100 per cent patency at discharge from the hospital. The operative mortality was three patients (1.7%). Complications included myocardial infarction (three/one death), renal failure (one/one death), respiratory failure (one/one death), cerebrovascular accident (four), and superficial wound infection (five). Late complications were infrequent, but included seven graft limb occlusions in six patients (3.4%), and one graft infection, one ureteral obstruction, and one false aneurysm. Among the 256 symptomatic extremities, claudication was completely relieved in 199 (78%) and substantially improved in an additional 48 (18.5%). Hemodynamic assessment with arm/ankle or arm/high thigh indices improved in parallel with symptomatic relief. Thus, only nine (3.5%) symptomatic extremities failed to improve with the proximal reconstruction, requiring distal reconstruction or amputation. The authors remain advocates of aortofemoral grafting with end-to-end proximal anastomosis and hooding of the distal anastomosis over the profunda origin for most aortoiliac occlusive diseases. Our recent experience with double velour graft and this technique have been very satisfactory.

Original languageEnglish (US)
Pages (from-to)89-92
Number of pages4
JournalAmerican Surgeon
Volume48
Issue number3
StatePublished - May 8 1982

Fingerprint

Extremities
Transplants
Arm
Ureteral Obstruction
Polyethylene Terephthalates
False Aneurysm
Wound Infection
Thigh
Reoperation
Amputation
Ankle
Respiratory Insufficiency
Prostheses and Implants
Renal Insufficiency
Thrombosis
Hemodynamics
Stroke
Myocardial Infarction
Mortality
Infection

ASJC Scopus subject areas

  • Surgery

Cite this

Lind, R. E., Wright, C. B., Lynch, T. G., Lamberth, W. C., Slaymaker, E. E., & Brandt, B. (1982). Aortofemoral bypass grafting: Microvel. American Surgeon, 48(3), 89-92.

Aortofemoral bypass grafting : Microvel. / Lind, R. E.; Wright, C. B.; Lynch, Thomas Gerald; Lamberth, W. C.; Slaymaker, E. E.; Brandt, B.

In: American Surgeon, Vol. 48, No. 3, 08.05.1982, p. 89-92.

Research output: Contribution to journalArticle

Lind, RE, Wright, CB, Lynch, TG, Lamberth, WC, Slaymaker, EE & Brandt, B 1982, 'Aortofemoral bypass grafting: Microvel', American Surgeon, vol. 48, no. 3, pp. 89-92.
Lind RE, Wright CB, Lynch TG, Lamberth WC, Slaymaker EE, Brandt B. Aortofemoral bypass grafting: Microvel. American Surgeon. 1982 May 8;48(3):89-92.
Lind, R. E. ; Wright, C. B. ; Lynch, Thomas Gerald ; Lamberth, W. C. ; Slaymaker, E. E. ; Brandt, B. / Aortofemoral bypass grafting : Microvel. In: American Surgeon. 1982 ; Vol. 48, No. 3. pp. 89-92.
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