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Major Arterial Grafting in One Hundred Sixty-Nine Consecutive CasesA Preliminary Report on Incidence of Success and Failure
A. W. HUMPHRIES, M.D.;
V. G. deWOLFE, M.D.;
F. A. LeFEVRE, M.D.
AMA Arch Surg. 1957;74(1):65-70.
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This analysis is presented as a preliminary report of results in arterial grafting. The longest follow-up is 27 months. All but one case received freeze-dried homografts sterilized in ethylene oxide.
Of the 169 cases, 102 were in the aortoiliac region, 63 were femoropopliteal, 3 were of the renal arteries, and 1 was a carotid artery. The anatomic locations are listed in Table 1. The unusually large number of femoral grafts in comparison with the number of aortic grafts results from many femoropopliteal grafts attempted in order to prevent amputation—even when the chance of success was poor. If these were omitted, the proportion of aortoiliac to
Analysis of Results
A better understanding of the results may be obtained if the cases are divided under femoropopliteal grafts (exclusive of aneurysms) would be approximately two to one in favor of the higher location.
several headings:
initial success, continued success, initial failure,
. . . [Full Text PDF of this Article]
Author Affiliations
Cleveland
From the Departments of Cardiovascular Disease and Vascular Surgery of the Cleveland Clinic Foundation and The Frank E. Bunts Educational Institute.
Footnotes
Received for publication Sept. 27, 1956.
Presented at the Fourth Scientific Meeting of the North American Chapter of the International Society of Angiology, Chicago, June 9, 1956.
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