Descending Thoracic Aorto-bifemoral Bypass for Aortoiliac Occlusive Disease

Content Provider	Scilit
Author	Dixit, Sunil Sharma, Mohit Sharma, Neeraj Sharma, Omeshwar Sharma, Anil
Copyright Year	2015
Abstract	Introduction: Complete obstruction of the abdominal aorta at the renal artery level is a difficult surgical problem. Methods: From August 2010 to January 2014, descending thoracic aorta to femoral artery bypass grafting was used to re-vascularize the lower limbs of the patients in our center. We analysedd our resultsResults: Primary indication was lack of a suitable site for aortic clamping. Average duration of surgery was 2.5-4.5 h, and blood loss was 100-400 mL. We use BARD®, IMPRA® expanded polytetrafluoroethylene vascular graft for thoraco-bifemoral bypass surgery. There was one mortality due to myocardial infarction. Major morbidities were graft occlusion in one patient that was managed by embolectomy and ascites in another patient, managed conservatively.Conclusion: Thoracic aorta to femoral artery bypass is a simple extra anatomic bypass technique, which can be used in case of difficulty to use abdominal aorta for lower limb re-vascularization.
Related Links	https://www.indjvascsurg.org/article.asp?issn=0972-0820;year=2015;volume=2;issue=1;spage=12;epage=15;aulast=Sharma;type=2
File Format	XHTML
ISSN	09720820
DOI	10.4103/0972-0820.152825
Journal	Indian Journal of Vascular and Endovascular Surgery
Issue Number	1
Volume Number	2
Language	English
Publisher	Medknow
Publisher Date	2015-01-01
Access Restriction	Open
Subject Keyword	Atherosclerosis Peripheral Vascular Disease Thoraco-bifemoral Bypass Indian Journal of Vascular and Endovascular Surgery, Volume 2, Issue 1
Content Type	Text
Resource Type	Article