A nine-year experience with crossover femoro-femoro-popliteal sequential bypass

Martin I. Ellenby, Alan P. Sawchuk, Thomas H. Schwarcz, Joseph P. Meyer, Jose Montalvo, D. Preston Flanigan, James J. Schuler

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Multisegmental arterial occlusive disease may require a combined inflow and outflow procedure for optimal treatment of limb ischemia. Twenty-one patients with unilateral iliac artery stenosis or occlusion and ipsilateral superficial femoral artery occlusion underwent crossover femoro-femoro-popliteal sequential bypass during a 9-year period. Seventeen operations were for limb salvage. Patency rates were determined separately for each segment of the bypass. Primary patency rates for the femoro-femoral segment were 89%, 83%, and 57% at 1, 2, and 5 years, respectively. Primary patency rates for the femoro-popliteal segments were 68%, 62%, and 40% at 1, 2, and 5 years, respectively. Limb salvage rates were 100%, 90%, and 77% at 1, 2, and 5 years, respectively. This experience indicates that femoro-femoro-popliteal bypass is an effective treatment in selected patients with severe ischemia due to combined iliac artery and superficial femoral artery disease.

Original languageEnglish (US)
Pages (from-to)672-676
Number of pages5
JournalThe American Journal of Surgery
Volume161
Issue number6
DOIs
StatePublished - Jun 1991
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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    Ellenby, M. I., Sawchuk, A. P., Schwarcz, T. H., Meyer, J. P., Montalvo, J., Flanigan, D. P., & Schuler, J. J. (1991). A nine-year experience with crossover femoro-femoro-popliteal sequential bypass. The American Journal of Surgery, 161(6), 672-676. https://doi.org/10.1016/0002-9610(91)91253-F