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Surgical Treatment of Aorto-Iliac Artery Disease

Department of Surgery, Long Island Jewish-Hillside Medical Center and St. Francis Hospital, Cardiovascular Surgery, Deepdale General and Manhasset Medical Center Hospitals, Long Island Vascular Laboratory, State University of New York at Stony Brook, New York, School of Medicine, State University of New York at Stony Brook, New York

In a period of 6 years, up to January, 1980, the author has treated 248 cases of aorto-iliac artery disease. There were 109 cases of abdominal aortic aneurysm, and the remainder was obstructive aorto-iliac artery disease. All but 20% of elective abdominal aortic aneurysms were asymptomatic. There were 100 cases of elective abdominal aortic aneurysm resection with operative mortality of 2%. There were 19 cases of ruptured aortic aneurysm with hospital mortality of 47%. There were 49 cases of aorto-femoral artery bypasses with 6th year cumulative patency rate of 89% in aorto-femoral bypass with Dacron graft, and 69% in aorto-iliac artery bypass with Dacron graft, and 2 year cumulative patency rate of 75% in descending thoracic aorto-femoral artery bypass with Poly Tetra Fluoro Ethylene graft. There were 32 cases of axillo-femoral artery bypasses and 48 cases of femoral- femoral artery bypasses. The 3 year cumulative patency rate of axillo-femoral artery bypass with PTFE graft was 89%, and that of femoral-femoral artery bypass with PTFE was 85%. However, axillo-femoral artery bypass with Dacron graft had 3-year patency rate of 67% and femoral-femoral artery bypass with Dacron graft was 62%. The 4 year cumulative patency rate of axillo-femoral artery bypass with Dacron graft was 39%. The 5 year cumu lative patency rate of femoral-femoral artery bypass with Dacron graft was 62%.

Angiology, Vol. 32, No. 2, 73-105 (1981)
DOI: 10.1177/000331978103200201


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