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Combined aortobifemoral and femoropopliteal bypass in the management of patients with extensive atherosclerosis

  • Original Articles
  • Published:
Annals of Vascular Surgery

Abstract

Certain patients have atherosclerosis in both aortoillac and femoropopliteal segments of the arterial tree and thus do not have a good result from reconstruction of the aortoiliac segment. No method has been developed to identify these patients and we do not know whether, by combining a femoropopliteal bypass with an aortobifemoral bypass, the results can be improved. We present a series of 153 patients with severe multilevel occlusive disease treated by simultaneous reconstruction and followed for up to 6.5 years. The cumulative patency of the femoropopliteal bypasses was 80% at four years. Functional and symptomatic improvement was excellent, and operative mortality was low when one considers the age and poor general condition of the patients.

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Authors and Affiliations

  1. Department of Surgery, Brigham and Women’s Hospitals, Boston, Massachusetts

    John Eidt MD & David Charlesworth DSc, MD, FRCS

  2. Department of Surgery, University Hospital of South Manchester, Nell Lane, West Didsbury, M20 8LR, Manchester, UK

    John Eidt MD & David Charlesworth DSc, MD, FRCS

Authors
  1. John Eidt MD
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  2. David Charlesworth DSc, MD, FRCS
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Eidt, J., Charlesworth, D. Combined aortobifemoral and femoropopliteal bypass in the management of patients with extensive atherosclerosis. Annals of Vascular Surgery 1, 453–459 (1987). https://doi.org/10.1007/BF02732668

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  • DOI: https://doi.org/10.1007/BF02732668

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