Comparison of axillofemoral and aortofemoral bypass for aortoiliac occlusive disease

Abstract

When reserved for high-risk patients with limited life expectancy, the patency and limb salvage results of AXFBG are equivalent to those of AOFBG.

Results of Lower Limb Revascularization from the Descending Thoracic Aorta

“…Axillofemoral bypasses, which are decidedly less aggressive, have been and still are widely used in these situations. Although a recent publication reported results similar to those recorded with aortofemoral bypasses, 43 it seems that their more superficial tunneling and more precarious hemodynamic condition make them more prone to infection and to numerous extrinsic causes of thrombosis than more deeply tunneled bypasses. [44][45][46][47] A few cases of infection of the infrarenal aorta, one of which was in our series, were treated by the association of an infrarenal aorta ligation with a bypass graft from the thoracic aorta.…”

“Lower Limbs Revascularization from Supraceliac and Thoracic Aorta”

“…Moreover, our patients' mean age was 62 years, all classified as ASA II, which makes the axillobi-femoral bypass a less appealing choice, considering that superficial tunneling and a more precarious hemodynamic condition are responsible for a higher susceptibility to infections and premature thrombosis, with reported patency ranging from 10% to 75% at 5 years. 9 In the literature, perioperative mortality for bypass from the descending thoracic aorta varies from 0% to 11%, 4,10 mainly because of surgical reinterventions. In our cases, there were no serious immediate postoperative complications, except a cholecystitis that required intervention by the general surgery department, prolonging the hospital stay.…”

Descending thoracic aorto bifemoral artery bypass for Aortoiliac occlusive disease :A novel anterior subcutaneous tunnel approach

“…When abdominal aortic surgery is contraindicated because ofsevere disease at the inflow site, axillofemoral bypass is currently the most common alternative pro-cedure. However, the results of axillofemoral bypass are generally less than ideal in terms of patency and quality of life, although some better primary patency rates have been reported recently 6,7 .In this study, thoracobifemoral bypass grafting with the novel anterior subcutaneous approach was proposed.…”