Axillodistal bypass on critical limb ischaemia

Axillo-popliteal bypass with sequential graft to femoral artery in a case of aorto-iliac occlusive disease with calcified abdominal aorta and iliac vessels

“…Ascer et al [7] have reported a series of 55 cases of axillo-popliteal bypass with 5-year patency rate of 40 % and operative mortality rate of 8 %, Keller et al [8] have reported 41 cases with 3-year patency rate of 43 % and operative mortality rate of 20 %, Bastounis E et al [9] in their series of 67 cases of axillo-popliteal and axillodistal bypass have reported 5-year primary patency of 13 %, other series include less than 10 cases individually. Indications for axillo-popliteal bypass in these series were failed aortofemoral grafts, graft infection, and severe atherosclerotic Fig.…”

Treatment of Vascular Prosthesis Infections — 15 Years of Experience

“…According to these authors, such proceedings allow physicians to eradicate the infection and to save the limb, increasing the chances of survival. Bastounis (13) prefers the axillary-femoral by-pass with ablation of the infected prosthesis en bloc, noting that the decision to perform primary amputation in his study led to a nearly three-times-higher percentage of early a venous graft from the saphenous or femoral vein is typically used. Apart from obvious advantages, this method also has its disadvantages.…”

Chronic Limb Ischemia due to Thrombosis of an Aneurysmal Degeneration of the Autogenous Vein Graft: A Case Report

“…True nonanastomotic aneurysmal degeneration of great saphenous vein grafts is an unusual condition, despite the common and widespread use of this conduit in arterial reconstructions. 1 Vein grafts are at risk of degenerative changes, especially when used in the pediatric population, but the real cause remains unknown. It is well documented that, especially in the first 1 to 2 years after graft implantation, nearly one-third of autogenous vein grafts develop intrinsic lesions, as a result of intimal hyperplasia, which can lead to graft failure.…”