Femoro-femoral cross-over grafts. A report of 7 cases

Baker, Richard P.; Parker, Ebrahim

doi:10.1002/bjs.1800590904

Cited by 4 publications

(1 citation statement)

References 8 publications

(7 reference statements)

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“…It is a relatively simple, speedy operation causing little general disturbance. Baker and Parker (1972), reporting on 7 cases, concluded that the risk of 'stealing' from the donor limb seemed much less than might be expected, even in the presence of some iliac disease. They suggested that the indications for this procedure be extended and that it should be considered as an alternative primary procedure in patients who would normally undergo aorto-iliac surgery.…”

Section: Discussionmentioning

confidence: 97%

Salvage of the lower limb

Yogasundram¹

1976

British Journal of Surgery

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This is a retrospective study of 80 patients with 94 severely ischaemic lower limbs treated over a period of 6 years. Arterial reconstruction was possible in 47 patients (54 limbs) and 76 per cent of these limbs were salvaged. There was no operative mortality. An attempt has been made to analyse the reasons for the failure. The fate of the patients who underwent major amputation is described. The selection of patients for direct arterial surgery is discussed, together with some of the technical problems involved.

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Section: Discussionmentioning

confidence: 97%

Salvage of the lower limb

Yogasundram¹

1976

British Journal of Surgery

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Hemodynamic and Angiographic Guidelines in Selection of Patients for Femorofemoral Bypass

Flanigan¹

1978

Arch Surg

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Iliofemoral versus femorofemoral bypass: A 6-year audit

Nyamekye

1993

Journal of British Surgery

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Role of sequential leucocyte counts and C-reactive protein measurements in acute appendicitis Sir We read with interest the paper by Mr Thompson and colleagues (Br J Surg 1992; 79: 822-4) describing the use of serial leucocyte counts as an adjunct to clinical assessment in the diagnosis of acute appendicitis. The test described (that ofan increasein the total leucocyte count over a 4-h period) was shown to have a sensitivity of 92 per cent and a specificity of 100 per cent and was therefore claimed to fulfil the criteria for a diagnostic test that could prove useful in assessing patients with equivocal clinical findings.Of more practical relevance, however, is the negative predictive value of the test, the proportion of patients with a negative test result who did not have appendicitis. Although it is not quoted in the text, we calculate this value to be only 78 per cent. Furthermore, as the authors mention, those false-negative results (patients incorrectly predicted not to have appendicitis) were in cases of a perforated appendix and thus represent the very patients one would not wish to miss. Although a rising leucocyte count may be useful in certain cases, we would advocate extreme caution before refuting the diagnosis of acute appendicitis on the basis of this test.

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Femoro-femoral cross-over grafts. A report of 7 cases

Abstract: Seven patients who had femoro‐femoral by‐pass grafts are reported and the results are noted. The value of the operation in poor‐risk patients with unilateral disease and ischaemic rest pain is confirmed. It is suggested that the indications for doing this procedure could be extended.

Cited by 4 publications

References 8 publications

Salvage of the lower limb

Salvage of the lower limb

Hemodynamic and Angiographic Guidelines in Selection of Patients for Femorofemoral Bypass

Iliofemoral versus femorofemoral bypass: A 6-year audit

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