This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (9)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Tailoring the Options

Milton L. Owens, MD, FACS; Samuel Eric Wilson, MD, FACS; Irving Schwartz, MD

Arch Surg. 1980;115(9):1099-1102.

Abstract
• Records from 165 patients who had received aortoiliac or aortofemoral bypass grafts were reviewed. The overall five-year patency rate was 88%. There was no significant difference in operative duration, amount of blood transfused, postoperative complications, and life table patency rates when comparisons were made of unilateral and bilateral grafts, of patients who underwent sympathectomy and those who did not, or of aortofemoral and aortoiliac grafts. When bypass grafting included an additional procedure, the amount of blood transfused and the number of postoperative complications increased significantly. We conclude that (1) the decision to operate should be based on symptoms, (2) the site of anastomosis should be chosen from anatomic characteristics, and (3) other procedures should not be performed except to achieve obvious therapeutic goals and to assure graft patency.

(Arch Surg 115:1099-1102, 1980)

Author Affiliations
From the Department of Surgery, Vascular Surgery Section, VA Wadsworth Medical Center, Los Angeles.

Footnotes
Accepted for publication May 7, 1980.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Jan 19, 1980, Rancho Mirage, Calif.

Reprint requests to Department of Surgery (691/112K2), VA Wadsworth Medical Center, Wilshire and Sawtelle Boulevards, Los Angeles, CA 90073 (Dr Owens).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Aortic Reconstruction vs Extra-anatomic Bypass and Angioplasty: Thoughts on Evolving a Protocol for Selection
Bunt
Arch Surg 1986;121:1166-1171.
ABSTRACT  

Progress in the Management of Peripheral Vascular Disease
Blau and Kerstein
VASC ENDOVASCULAR SURG 1982;16:172-184.
ABSTRACT