Femorofemoral bypass grafts: Analysis of patency and factors influencing long-term outcome

Abstract

In conclusion, FFBPG offers moderately low long-term patency in a population with limited survival. Outflow procedures performed concomitantly with FFBPG seemed to compensate for the negative impact on graft patency rate of ipsilateral SFA occlusion and limb-threatening ischemia. Limb-threatening ischemia, however, carried a significantly higher (p < 0.05) amputation rate. The influence of preoperative donor iliac artery percutaneous transluminal balloon angioplasty on FFBPG patency remains unclear.

ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic)

“…Unilateral iliac percutaneous angioplasty and femoralfemoral bypass are associated with only slightly lower patency. In large series, patencies of 78% to 92% at 1 year and 66% at 7 years have been reported (514,515). Perler and Williams noted a similar patency for femoral-femoral bypass in the setting of unilateral iliac occlusion without donor limb disease, with patencies of 73% at 1 year and 59% at 5 and 7 years (515).…”

Mid-Term Comparison of Bifurcated Modular Endograft Versus Aorto-Uni-Iliac Endograft in Patients with Abdominal Aortic Aneurysm

“…Their assertion is based on studies reporting patency rates of crossover bypasses in patients with peripheral occlusive arterial disease. [20][21][22][23][24][25][26][27][28][29][30] These speculations are hypothetical because crossover bypass for AUI endografting is performed in patients with aneurysmatic disease who usually do not have peripheral occlusive disease. 1 In this study, only one case of femoral-femoral bypass thrombosis was observed and it was secondary to thrombosis of the terminaliliac part of the AUI endograft due to severe stenosis of the native artery.…”

ACC/AHA 2005 Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic): Executive Summary A Collaborative Report From the American Association for Vascular Surgery/Society for Vascular Surgery,⁎⁎AAVS/SVS when Guideline initiated, now merged into SVSSociety for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guideline

“…Ipsilateral bypasses that originate from the aorta or proximal iliac artery have a 3-year patency rate in the range of 90% (95,157). Femoralfemoral bypass grafting yields a 3-year patency rate that ranges from 60% to 80% and a 5-year patency rate of 60% to 90% (158,159).…”