| Popis: |
The indications, complications, mortality, and patency rates of 53 femorofemoral (F-F) bypass grafts during a 10-year period were analyzed. Forty-two of the 53 (79%) procedures were for atherosclerotic disease (Group I): 16 (38%) F-F grafts alone, nine (21%) with iliac artery balloon angioplasty (IABA), 13 (31%) with femorodistal (F-D) bypass, and four (10%) with both IABA and F-D bypass. Eleven of the 53 (21%) patients with acute ischemia were treated with F-F grafts alone after intraaortic balloon pumping (IABP) (Group II). Two (4%) occlusions occurred within 30 days in F-F grafts performed with F-D grafts, and seven (13%) occluded late. The cumulative patency rate for F-F grafts alone was 72% at 5 years and 59% at 10 years, and for F-F grafts with additional procedures was 24% at 5 years and 14% at 10 years. Total cumulative patency rate for 5 years was 60%. The 30-day mortality rate was 6%; the 5-year mortality rate was 17% (9/53), and the cumulative 10-year mortality rate was 42% (22/53). |
