Aorto-Iliac Arterial Substitution Utilizing Subcutaneous Grafts

Late Complications Following Aortic Aneurysm Repair

“…Results of the use of this approach have gradually improved since its introduction by Blaisdell et al in 1970, particularly after the observation of Reilly et al that staged extra-anatomic bypass grafting followed by graft excision was associated with lower mortality and improved initial limb salvage (Blaisdell et al, 1970;Reilly et al, 1987). Seeger et al reported a series of 36 cases with infected aortic prosthesis.…”

What tissue bankers should know about the use of allograft blood vessels

“…In those patients a prosthetic graft is anastomosed proximally to the axillary artery and tunnelled down the chest and abdominal wall subcutaneously to be anastomosed distally at the femoral arteries in the groin. This approach, originally proposed by Blaisdell et al in 1970, was modified into a staged procedure by Reilly et al in the 1980s. It remains a commonly used treatment option amongst surgeons in the UK, despite the relatively high mortality, and particularly high rate of limb loss due to graft failure (Blaisdell et al1970;Reilly et al 1987).…”

Are Axillofemoral Bypass Grafts Worthwhile? A 10-year Review

“…This is in agreement with our own experience . Considering the improvement in the quality of life, the prosthesis pa· tency rate of 50 % to 60 % after 2 to 4 years (2,4,7,13) or 70 % to 80 % afte r 4 years or longer (5) seem s less important than the clinical improvement: prosthesis patency does not necessarily imply that the patient's ailmen ts are cured. If 80 % of all patient s remain in stage II after surgery until they die and are able to walk over 100 m befo re the onset of pain, then the indication for surgery was correct , and this method may be considered effective for this group of pati ent s with their low survival rate .…”