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https://hdl.handle.net/2440/10601
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Type: | Journal article |
Title: | The fate of the aortofemoral graft |
Author: | Raptis, S. Faris, I. Quigley, F. |
Citation: | European journal of vascular surgery, 1995; 9(1):97-102 |
Publisher: | W B SAUNDERS CO LTD |
Issue Date: | 1995 |
ISSN: | 0950-821X 1532-2165 |
Statement of Responsibility: | Raptis, S. ; Faris, I. ; Miller, J. ; Quigley, F. |
Abstract: | <h4>Objective</h4>To determine the incidence and cause for reoperation following aortofemoral bypass surgery.<h4>Design</h4>This paper describes the results of all aortofemoral grafts performed in the years 1978-1991, 251 of these patients underwent an aortobifemoral graft (ABF) whilst the remaining 50 had an aortounifemoral graft (AUF).<h4>Results</h4>The aortofemoral bypass was the only operation performed in fewer than half of the patients. Sixteen per cent of ABF and 50% of the AUF patients had surgery before the index operation. Subsequently 33% of the ABF patients and 60% of the AUF group had one or more additional vascular procedures. Graft infections and false aneurysms continued to present in about 1% patients per year at least up to 10 years following surgery. The 5 year actuarial survival was 73% in the ABF group and 38% in the AUF patients. The primary patency at 5 years was 85% in the ABF patients and 81% in the AUF group. Amputation was performed in 6% of the ABF patients and in 20% of the AUF patients.<h4>Conclusions</h4>The frequent need for later surgery (1:3 for the ABF patients) should be considered in the decision to undertake the initial aortofemoral operation when the patient presents with intermittent claudication. |
Keywords: | Aorta, Abdominal Femoral Artery Iliac Artery Humans Aneurysm, False Intermittent Claudication Postoperative Complications Treatment Outcome Arteriovenous Shunt, Surgical Reoperation Morbidity Incidence Follow-Up Studies Blood Vessel Prosthesis Vascular Patency Time Factors Middle Aged Female Male |
DOI: | 10.1016/S1078-5884(05)80232-1 |
Published version: | http://dx.doi.org/10.1016/s1078-5884(05)80232-1 |
Appears in Collections: | Aurora harvest 2 Surgery publications |
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