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Abstract
This study was undertaken to evaluate the effects of untreated superficial femoral
artery occlusion in patients undergoing aortofemoral bypass for intermittent claudication.
In 56 patients at a mean follow-up time of 3.3 years, graft patency, treadmill walking
tolerance, and ankle systolic pressure indices (ASPI) were compared in two groups
of limbs: those with a patent superficial femoral artery and those with that vessel
occluded. There was a high graft patency rate with no significant difference between
the two groups. In limbs with a patent superficial femoral artery, 86% were completely
relieved of claudication. However, in limbs with an occluded superficial femoral artery,
only 26% were relieved of claudication. In limbs with a patent superficial femoral
artery, the mean postoperative ASPI was 0.87 (SD ± 0.22) compared with 0.61 (SD ±
0.17) in limbs with an occluded superficial femoral artery. These results indicate
that, in patients with combined superficial femoral artery occlusion and aortoiliac
disease, revascularizing the deep femoral artery by aortofemoral grafting often does
not achieve relief of claudication. There is a need for more effective hemodynamic
discrimination of the relative contribution of proximal and distal occlusions.
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References
- Subsequent downstream repair after aortoiliac and aortofemoral bypass operations.Surgery. 1977; 82: 785
- Combined aortoiliac and femoropopliteal occlusive disease: Limitations of total aortofemoral popliteal bypass.Ann Surg. 1966; 163: 121
- Value of segmental limb blood pressures in predicting results of aortofemoral bypass.Am J Surg. 1976; 132: 733
- Measurement of systolic femoral artery pressure during reactive hyperemia. An estimate of aortoiliac disease.Circulation. 1974; 49–50: 259
- Evolution of direct arterial surgery for claudication and ischaemia of legs—a nine year survey.Br Med J. 1963; 1: 353
- The diagnosis of aortoiliac stenosis: A comparison of thigh pressure measurement and femoral artery flow velocity profile.J Cardiovasc Surg. 1975; 16: 597
- Noninvasive physiologic tests in the diagnosis and characterization of peripheral arterial occlusive disease.Am J Surg. 1973; 126: 205
- The results of arterial reconstruction utilising the profunda femoris artery in the treatment of rest pain and pregangrene.Br J Surg. 1977; 64: 359
- On the surgery of atherosclerosis of the profunda femoris artery.Surgery. 1972; 71: 182
- Long term results of reconstructive aortoiliac surgery.Am J Surg. 1972; 123: 503
- The value of Doppler blood velocity tracings in the detection of aortoiliac disease in patients with intermittent claudication.Surgery. 1976; 80: 774
- Hemodynamic assessment of the aortoiliac segment.J Cardiovasc Surg. 1975; 16: 586
- Angioplasty in the treatment of peripheral occlusive arteriopathy. A summary of 12 years' experience.Arch Surg. 1965; 90: 617
- Pulse examination by an ultrasonic method.Br Med J. 1968; 4: 555
Article info
Publication history
Accepted:
March 14,
1979
Identification
Copyright
© 1980 Published by Elsevier Inc.
