Comparative Study of Femoro-Femoral Crossover Bypass and Aorto-Unifemoral Bypass

Abstract

Iliac artery occlusions can produce Chronic limb-threatening ischemia and these patients need early revascularization procedures for their limb salvage which is usually established by Aorto-unifemoral bypass. But in patients with poor general conditions femoro-femoral crossover bypass is an alternate option. Ours is Comparative study of Femoro-femoral crossover bypass and Aorto-unifemoral bypass in patients with Iliac occlusion and Chronic limb-threatening ischemia. Total of 22 patients were included in which femorofemoral bypass performed in 10 patients and Aorto-unifemoral bypass in 12 patients. Indications for femorofemoral bypass were poor cardiac/respiratory functions and old age with poor performance. Stable patients were subjected to Aorto-unifemoral bypass. Patency rates and limb salvage rate were 100% with no perioperative mortality in both of these procedures. This shows femorofemoral bypass is an effective revascularization procedure in patients with Iliac occlusion and Chronic limb-threatening ischemia with associated poor general conditions.