Evaluation of End-to-Side v End-to-End Proximal Anastomosis in Aortobifemoral Bypass

George E. Pierce, Mark Turrentine, Scott Stringfield, John Iliopoulos, Creighton A. Hardin, Arlo S. Hermreck, James H. Thomas

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

The cumulative graft-limb patency rate was significantly higher after aortobifemoral bypass with a proximal end-to-end anastomosis (E-E-AN) than with a proximal end-to-side anastomosis (E-S-AN), 100% v 93%, respectively, after 1.5 years in a consecutive series of 38 E-S-ANs followed by 41 E-E-ANs. The two operations were equally effective in relieving hip claudication, but impotence occurred more frequently after E-E-AN (27%) than after E-S-AN (13%). This difference was not significant, but six of ten patients with E-E-AN who became impotent had arteriographic patterns predicting that graft flow into hypogastric arteries might be compromised. Intraoperative studies demonstrated that acute bilateral occlusion of hypogastric arteries significantly decreases penile BP, but branches of the external iliac arteries also contribute to penile flow and may become the major route of supply in patients with hypogastric occlusive disease.

Original languageEnglish (US)
Pages (from-to)1580-1588
Number of pages9
JournalArchives of Surgery
Volume117
Issue number12
DOIs
StatePublished - 1982
Externally publishedYes

Fingerprint

Arteries
Transplants
Iliac Artery
Erectile Dysfunction
Hip
Extremities

ASJC Scopus subject areas

  • Surgery

Cite this

Pierce, G. E., Turrentine, M., Stringfield, S., Iliopoulos, J., Hardin, C. A., Hermreck, A. S., & Thomas, J. H. (1982). Evaluation of End-to-Side v End-to-End Proximal Anastomosis in Aortobifemoral Bypass. Archives of Surgery, 117(12), 1580-1588. https://doi.org/10.1001/archsurg.1982.01380360056009

Evaluation of End-to-Side v End-to-End Proximal Anastomosis in Aortobifemoral Bypass. / Pierce, George E.; Turrentine, Mark; Stringfield, Scott; Iliopoulos, John; Hardin, Creighton A.; Hermreck, Arlo S.; Thomas, James H.

In: Archives of Surgery, Vol. 117, No. 12, 1982, p. 1580-1588.

Research output: Contribution to journalArticle

Pierce, GE, Turrentine, M, Stringfield, S, Iliopoulos, J, Hardin, CA, Hermreck, AS & Thomas, JH 1982, 'Evaluation of End-to-Side v End-to-End Proximal Anastomosis in Aortobifemoral Bypass', Archives of Surgery, vol. 117, no. 12, pp. 1580-1588. https://doi.org/10.1001/archsurg.1982.01380360056009
Pierce, George E. ; Turrentine, Mark ; Stringfield, Scott ; Iliopoulos, John ; Hardin, Creighton A. ; Hermreck, Arlo S. ; Thomas, James H. / Evaluation of End-to-Side v End-to-End Proximal Anastomosis in Aortobifemoral Bypass. In: Archives of Surgery. 1982 ; Vol. 117, No. 12. pp. 1580-1588.
@article{3496b9d998e3417c865913ab47010488,
title = "Evaluation of End-to-Side v End-to-End Proximal Anastomosis in Aortobifemoral Bypass",
abstract = "The cumulative graft-limb patency rate was significantly higher after aortobifemoral bypass with a proximal end-to-end anastomosis (E-E-AN) than with a proximal end-to-side anastomosis (E-S-AN), 100{\%} v 93{\%}, respectively, after 1.5 years in a consecutive series of 38 E-S-ANs followed by 41 E-E-ANs. The two operations were equally effective in relieving hip claudication, but impotence occurred more frequently after E-E-AN (27{\%}) than after E-S-AN (13{\%}). This difference was not significant, but six of ten patients with E-E-AN who became impotent had arteriographic patterns predicting that graft flow into hypogastric arteries might be compromised. Intraoperative studies demonstrated that acute bilateral occlusion of hypogastric arteries significantly decreases penile BP, but branches of the external iliac arteries also contribute to penile flow and may become the major route of supply in patients with hypogastric occlusive disease.",
author = "Pierce, {George E.} and Mark Turrentine and Scott Stringfield and John Iliopoulos and Hardin, {Creighton A.} and Hermreck, {Arlo S.} and Thomas, {James H.}",
year = "1982",
doi = "10.1001/archsurg.1982.01380360056009",
language = "English (US)",
volume = "117",
pages = "1580--1588",
journal = "JAMA Surgery",
issn = "2168-6254",
publisher = "American Medical Association",
number = "12",

}

TY - JOUR

T1 - Evaluation of End-to-Side v End-to-End Proximal Anastomosis in Aortobifemoral Bypass

AU - Pierce, George E.

AU - Turrentine, Mark

AU - Stringfield, Scott

AU - Iliopoulos, John

AU - Hardin, Creighton A.

AU - Hermreck, Arlo S.

AU - Thomas, James H.

PY - 1982

Y1 - 1982

N2 - The cumulative graft-limb patency rate was significantly higher after aortobifemoral bypass with a proximal end-to-end anastomosis (E-E-AN) than with a proximal end-to-side anastomosis (E-S-AN), 100% v 93%, respectively, after 1.5 years in a consecutive series of 38 E-S-ANs followed by 41 E-E-ANs. The two operations were equally effective in relieving hip claudication, but impotence occurred more frequently after E-E-AN (27%) than after E-S-AN (13%). This difference was not significant, but six of ten patients with E-E-AN who became impotent had arteriographic patterns predicting that graft flow into hypogastric arteries might be compromised. Intraoperative studies demonstrated that acute bilateral occlusion of hypogastric arteries significantly decreases penile BP, but branches of the external iliac arteries also contribute to penile flow and may become the major route of supply in patients with hypogastric occlusive disease.

AB - The cumulative graft-limb patency rate was significantly higher after aortobifemoral bypass with a proximal end-to-end anastomosis (E-E-AN) than with a proximal end-to-side anastomosis (E-S-AN), 100% v 93%, respectively, after 1.5 years in a consecutive series of 38 E-S-ANs followed by 41 E-E-ANs. The two operations were equally effective in relieving hip claudication, but impotence occurred more frequently after E-E-AN (27%) than after E-S-AN (13%). This difference was not significant, but six of ten patients with E-E-AN who became impotent had arteriographic patterns predicting that graft flow into hypogastric arteries might be compromised. Intraoperative studies demonstrated that acute bilateral occlusion of hypogastric arteries significantly decreases penile BP, but branches of the external iliac arteries also contribute to penile flow and may become the major route of supply in patients with hypogastric occlusive disease.

UR - http://www.scopus.com/inward/record.url?scp=0020402385&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0020402385&partnerID=8YFLogxK

U2 - 10.1001/archsurg.1982.01380360056009

DO - 10.1001/archsurg.1982.01380360056009

M3 - Article

C2 - 7149978

AN - SCOPUS:0020402385

VL - 117

SP - 1580

EP - 1588

JO - JAMA Surgery

JF - JAMA Surgery

SN - 2168-6254

IS - 12

ER -