Femorofemoral bypass: A valuable procedure

Tomas Salerno, O. R. Ayeni, P. E. Blundell, R. C J Chiu

Research output: Contribution to journalArticle

Abstract

Twenty-seven femorofemoral bypasses were performed in 25 patients with severe arteriosclerosis obliterans affecting the iliofemoral arteries. The series comprised 16 men and 9 women, aged 51 to 80 years. Nineteen patients were poor-risk cases with severe cardiorespiratory disease. Twenty-one patients had undergone vascular procedures previously without success. The operation was carried out: (a) as the primary procedure for very poor-risk patients in an attempt to salvage a limb, (b) to deal with unilateral limb occlusion of an aortoiliac-femoral prosthesis, or (c) as management of infected prosthetic grafts. Fourteen Dacron grafts and 13 saphenous veins were used for the bypasses. There were no operative deaths. Twenty-two patients were clinically improved, two required amputation later on and one patient was lost to follow-up. Four patients, including three with preexisting graft infection, had wound infections that cleared with drainage and antibiotics. No other major complications occurred in this group of poor-risk patients. Femorofemoral bypass is safe and provides the surgeon with a useful method of revascularizing the limbs of selected patients.

Original languageEnglish
Pages (from-to)112-113
Number of pages2
JournalCanadian Journal of Surgery
Volume21
Issue number2
StatePublished - Dec 1 1978
Externally publishedYes

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Transplants
Extremities
Arteriosclerosis Obliterans
Limb Salvage
Polyethylene Terephthalates
Lost to Follow-Up
Saphenous Vein
Wound Infection
Thigh
Amputation
Prostheses and Implants
Blood Vessels
Drainage
Arteries
Anti-Bacterial Agents
Infection
Surgeons

ASJC Scopus subject areas

  • Surgery

Cite this

Salerno, T., Ayeni, O. R., Blundell, P. E., & Chiu, R. C. J. (1978). Femorofemoral bypass: A valuable procedure. Canadian Journal of Surgery, 21(2), 112-113.

Femorofemoral bypass : A valuable procedure. / Salerno, Tomas; Ayeni, O. R.; Blundell, P. E.; Chiu, R. C J.

In: Canadian Journal of Surgery, Vol. 21, No. 2, 01.12.1978, p. 112-113.

Research output: Contribution to journalArticle

Salerno, T, Ayeni, OR, Blundell, PE & Chiu, RCJ 1978, 'Femorofemoral bypass: A valuable procedure', Canadian Journal of Surgery, vol. 21, no. 2, pp. 112-113.
Salerno T, Ayeni OR, Blundell PE, Chiu RCJ. Femorofemoral bypass: A valuable procedure. Canadian Journal of Surgery. 1978 Dec 1;21(2):112-113.
Salerno, Tomas ; Ayeni, O. R. ; Blundell, P. E. ; Chiu, R. C J. / Femorofemoral bypass : A valuable procedure. In: Canadian Journal of Surgery. 1978 ; Vol. 21, No. 2. pp. 112-113.
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