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We reviewed our experience with 99 patients whohad 111 femorofemoral bypass grafts
placed over a 10-year period. Mean follow-up was 36±28 months (range: 1 to 120 months)
Bypass alone was performed in 89 cases (group 1). Preoperative donor iliac angioplasty
was utilized in 22 cases (group 2). Overall graft failure was 21 of 89 in group 1
and 2 of 22 in group 2 (difference was not significant by χ2: p>0.05). Clinical success as calculated by life-table analysis was 95%, 83%, 75%,
and 67% at 1, 3, 5, and 7 years, respectively, for group 1. Clinical success was 100%
and 91% at 1 and 3 years, respectively, and 91% at 42 months for group 2. The success
rates were not different for the two groups when analyzed by the log-rank test at
42 months (p>0.30). We conclude that donor iliac angioplasty and femorofemoral bypass
is an excellent option for patients with severe occlusive disease of one iliac artery
and contralateral disease amenable to angioplasty.
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Article info
Footnotes
**Presented at the 20th Annual Meeting of the Society for ClinicalVascular Surgery, Orlando, Florida, March 25–29, 1992.
Identification
Copyright
© 1992 Reed Publishing USA. Published by Elsevier Inc.
