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Analysis Of 102 Cases With Combined Aortoiliac And Femoropopliteal Occlusive Disease Treated By Revascularization Of Deep Femoral Artery

GEORGE C. MORRIS, JR., M.D.; WILLIAM EDWARDS, M.D.; DENTON A. COOLEY, M.D.; E. STANLEY CRAWFORD, M.D.; MICHAEL E. De BAKEY, M.D.

AMA Arch Surg. 1961;82(1):32-37.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Arteriosclerotic occlusive disease of the lower extremities is characteristically segmental in nature, although the locations and patterns of involvement may be multiple and varied.^2,4,5 Combined disease of the aortoiliac and femoropopliteal arteries is frequently seen in patients with vascular insufficiency of the lower extremities. Ideal surgical management should have as its aim restoration of normal blood flow to the common femoral and profunda femoris vasculature as well as to the distal segments composed of the popliteal and tibial arteries. The technique we have found generally most satisfactory for this purpose is aorta-to-femoral-to-popliteal artery bypass graft in continuity with side-to-side anatomosis in the femoral region between the graft and the common femoral artery (Fig. 1).

Certain factors, however, may make this ideal type of revascularization impossible in some cases or unwise when technically feasible in others. For one thing, the popliteal, anterior tibial, and posterior tibial arteries may be extensively . . . [Full Text PDF of this Article]

Author Affiliations
HOUSTON, TEXAS

From The Cora and Webb Mading Department of Surgery, Baylor University College of Medicine.

Footnotes
Submitted for publication September 22, 1960.

Supported in part by the U.S. Public Health Service under Grants H-3137 and HTS-5387 and by the Houston Heart Association.

Read before the Eighth Scientific Meeting of the International Cardiovascular Society, North American Chapter, Miami Beach, June 11, 1960.

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