PMID- 9588514
OWN - NLM
STAT- MEDLINE
DCOM- 19980716
LR  - 20141120
IS  - 0890-5096 (Print)
IS  - 0890-5096 (Linking)
VI  - 12
IP  - 3
DP  - 1998 May
TI  - Axillobifemoral bypass: elective versus emergent operation.
PG  - 265-9
AB  - Axillobifemoral bypass (AxBFB) is considered an inferior operation because of 
      comparatively poor long-term results. One factor that has not been considered in 
      the literature is whether or not the operation is performed electively or for 
      acute ischemia (< 24 hours duration). This may be a more important predictor of 
      poor results than previously recognized. During the last 10 years, we have 
      performed 59 AxBFB. In Group A, 41 patients (mean age 71) underwent elective 
      AxBFB and in Group B, 18 patients (mean age 65) had emergency AxBFB. Indications 
      for surgery in Group A were limb-threatening ischemia (30), infected aortic graft 
      (5), and severe claudication (6); in Group B, indications for surgery were acute 
      limb ischemia (16), and aortoduodenal fistula (2). Primary patency (p < 0.002), 
      limb salvage (p < 0.002), and survival (p < 0.03) were significantly better in 
      Group A versus Group B. We conclude that an AxBFB performed electively provides 
      satisfactory palliation of severe vascular disease in high-risk patients. The 
      indications for operation and timing of the operation may explain the widely 
      disparate clinical results reported in the literature.
FAU - Jain, K M
AU  - Jain KM
AD  - Kalamazoo Center for Medical Studies, Michigan State University, 49001, USA.
FAU - O'Brien, S P
AU  - O'Brien SP
FAU - Munn, J S
AU  - Munn JS
FAU - Simoni, E J
AU  - Simoni EJ
FAU - Madson, D L
AU  - Madson DL
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Netherlands
TA  - Ann Vasc Surg
JT  - Annals of vascular surgery
JID - 8703941
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Aortic Diseases/*surgery
MH  - Arterial Occlusive Diseases/*surgery
MH  - Axillary Artery/*surgery
MH  - Elective Surgical Procedures
MH  - *Emergencies
MH  - Female
MH  - Femoral Artery/*surgery
MH  - Humans
MH  - Iliac Artery/*surgery
MH  - Ischemia/surgery
MH  - Leg/blood supply
MH  - Male
MH  - Middle Aged
MH  - Reoperation
MH  - Risk Factors
MH  - Treatment Outcome
EDAT- 1998/05/20 00:00
MHDA- 1998/05/20 00:01
CRDT- 1998/05/20 00:00
PHST- 1998/05/20 00:00 [pubmed]
PHST- 1998/05/20 00:01 [medline]
PHST- 1998/05/20 00:00 [entrez]
AID - S0890-5096(06)61668-3 [pii]
AID - 10.1007/s100169900151 [doi]
PST - ppublish
SO  - Ann Vasc Surg. 1998 May;12(3):265-9. doi: 10.1007/s100169900151.