Axillary-bifemoral and axillary-unifemoral artery grafts have similar perioperative outcomes and patency

Hardouin, Scott; Cheng, Thomas W.; Farber, Alik; Kalish, Jeffrey; Jones, Douglas W.; Malas, Mahmoud B.; Rybin, Denis; Oriel, Brad S.; Plauche, Lenee M.; Siracuse, Jeffrey J.

doi:10.1016/j.jvs.2019.05.038

Cited by 6 publications

(2 citation statements)

References 18 publications

(27 reference statements)

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“…Other causes of graft thrombosis may include anastomotic stenosis, inflow stenosis, and hypercoagulability. However, recent large-sample-sized studies have shown that the 1-year patency rates for axillary-bifemoral artery bypass and axillary-unilateral femoral artery bypass are similar [10]. Courbier et al showed that the 5-year patency rate for axillary-bilateral formal artery bypass is between 30 and 85% [11].…”

Section: Discussionmentioning

confidence: 99%

Case report: lateral axillary-profunda femoris artery bypass for acute lower limb ischemia due to thrombosis after bilateral axillofemoral bypass

She

Zhang

Yin

et al. 2020

J Cardiothorac Surg

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Introduction: We treated a patient with late-stage unilateral bypass thrombosis after bilateral axillary-femoral bypass with lateral axillary-profunda femoris artery (LAx-PF) bypass. Case presentation: A 64-year-old male patient was admitted to our hospital for acute left lower limb ischemia. Six years ago, he underwent bilateral axillary-femoral bypass due to Leriche syndrome. On emergency admission, thrombosis of the left bypass vessel was identified. Blood flow could not be restored due to failure to restore patency of the proximal and distal anastomosis of the left bypass vessel during surgery. We performed LAx-PF bypass surgery to successfully rescue the limb, which was on the verge of necrosis. Conclusion: If thrombectomy cannot restore blood flow in the previous axillary-femoral bypass, LAx-PF bypass is an easy procedure to rescue the ischemic limb.

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Section: Discussionmentioning

confidence: 99%

Case report: lateral axillary-profunda femoris artery bypass for acute lower limb ischemia due to thrombosis after bilateral axillofemoral bypass

She

Zhang

Yin

et al. 2020

J Cardiothorac Surg

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“…In a multidisciplinary conference with interventional radiologists and cardiovascular surgeons, a left axillofemoral bypass graft was preferred to avoid ischemia of the lower limbs. Because of the low patency rate of an axillofemoral bypass graft [ 4 ], a “Y-shaped” connection to the bilateral femoral artery was not proposed to preserve the right femoral artery in case of graft occlusion. Additionally, the possibility of conversion from laparoscopic surgery to laparotomy requiring a median hypogastric incision traversing the Y-shaped bypass could not be ruled out.…”

Section: Case Presentationmentioning

confidence: 99%

A rare case of sigmoid colon cancer in which the lower limbs received collateral blood flow from the inferior mesenteric artery owing to peripheral artery disease

et al. 2021

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Background Colorectal cancer and peripheral artery disease are common conditions in older adults and may coexist in this population. Lymph node dissection along the inferior mesenteric artery is a vital procedure in cases of left-sided colorectal cancer. However, the inferior mesenteric artery may show a collateral blood pathway in rare cases of peripheral artery disease. We report a case of advanced sigmoid colon cancer in which the lower limbs received inferior mesenteric artery flow owing to asymptomatic peripheral artery disease. The possibility of catastrophic lower-limb ischemia because of complete mesenteric excision with ligation of the inferior mesenteric artery was a matter of concern in this case. Case presentation A 73-year-old man with asymptomatic peripheral artery disease was diagnosed with stage IIIB advanced sigmoid colon cancer. Angiography using a balloon-occlusion catheter revealed that his lower limbs received prominent inferior mesenteric artery blood flow through a collateral pathway. Therefore, interventional radiologists and cardiovascular surgeons evaluated the indications for endovascular stents or bypass grafts. The patient also had dilated cardiomyopathy, so the cardiovascular physicians evaluated his tolerance in the worst-case scenario of a colorectal anastomotic leak. The patient underwent axillofemoral artery bypass and two-stage laparoscopic sigmoid colectomy without anastomosis. The postoperative course was uneventful, and he resumed his job within a month after the resection. Conclusions Although collateral flow from the inferior mesenteric artery is rare in patients with peripheral artery disease, a few case reports have described fatal lower-limb ischemia following anterior resection. The perioperative multidisciplinary evaluation enabled us to understand the patient’s condition and risks, and allowed successful cancer treatment without ischemia of the lower limbs.

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Outcomes of axillofemoral bypass for intermittent claudication

Levin

Farber

King

et al. 2022

Journal of Vascular Surgery

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Axillary-bifemoral and axillary-unifemoral artery grafts have similar perioperative outcomes and patency

Cited by 6 publications

References 18 publications

Case report: lateral axillary-profunda femoris artery bypass for acute lower limb ischemia due to thrombosis after bilateral axillofemoral bypass

Case report: lateral axillary-profunda femoris artery bypass for acute lower limb ischemia due to thrombosis after bilateral axillofemoral bypass

A rare case of sigmoid colon cancer in which the lower limbs received collateral blood flow from the inferior mesenteric artery owing to peripheral artery disease

Outcomes of axillofemoral bypass for intermittent claudication

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