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Article: Eighteen-year experience with femoro-femoral bypass

TitleEighteen-year experience with femoro-femoral bypass
Authors
KeywordsFemoro-femoral bypass
Patency
Surgery
Survival
Vascular
Issue Date2000
PublisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
Australian And New Zealand Journal Of Surgery, 2000, v. 70 n. 4, p. 275-278 How to Cite?
AbstractBackground: The role of femoro-femoral bypass in the management of aorto-iliac occlusive disease has evolved during the past two decades. The aim of the present study was to evaluate the early and long-term outcomes of femoro-femoral bypass grafts performed at the University of Hong Kong Medical Centre during an 18-year period. Methods: From 1981 to 1998, a retrospective analysis of 61 patients who underwent femoro-femoral bypass at the University of Hong Kong Medical Centre was undertaken. Data on demographic features and results of surgical intervention were reviewed. Early outcomes (morbidity, mortality and improvement of clinical category) and long-term outcomes (graft patency, patient survival and limb salvage rates) were analysed. Results: The postoperative morbidity and mortality rates were 16% and 7%, respectively. Clinical success was achieved in 48 patients (79%) after operation. The primary patency of femoro-femoral bypass was 86%, 79% and 71% at 1, 3 and 5 years, respectively. The limb salvage rate was 85% at 3 years. The cumulative survival rate of the study population was 89%, 82% and 73% at 1, 3 and 5 years, respectively. Conclusions: Femoro-femoral bypass was successful in relieving ischaemic pain and limb salvage in ~ 80% of patients. A 5-year patency rate of 71% was achieved. Femoro-femoral bypass remains a valuable surgical procedure for limb salvage in poor-risk patients with unilateral iliac artery occlusion.
Persistent Identifierhttp://hdl.handle.net/10722/83552
ISSN
2003 Impact Factor: 0.874
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorCheng, SWKen_HK
dc.contributor.authorHui, Jen_HK
dc.date.accessioned2010-09-06T08:42:23Z-
dc.date.available2010-09-06T08:42:23Z-
dc.date.issued2000en_HK
dc.identifier.citationAustralian And New Zealand Journal Of Surgery, 2000, v. 70 n. 4, p. 275-278en_HK
dc.identifier.issn0004-8682en_HK
dc.identifier.urihttp://hdl.handle.net/10722/83552-
dc.description.abstractBackground: The role of femoro-femoral bypass in the management of aorto-iliac occlusive disease has evolved during the past two decades. The aim of the present study was to evaluate the early and long-term outcomes of femoro-femoral bypass grafts performed at the University of Hong Kong Medical Centre during an 18-year period. Methods: From 1981 to 1998, a retrospective analysis of 61 patients who underwent femoro-femoral bypass at the University of Hong Kong Medical Centre was undertaken. Data on demographic features and results of surgical intervention were reviewed. Early outcomes (morbidity, mortality and improvement of clinical category) and long-term outcomes (graft patency, patient survival and limb salvage rates) were analysed. Results: The postoperative morbidity and mortality rates were 16% and 7%, respectively. Clinical success was achieved in 48 patients (79%) after operation. The primary patency of femoro-femoral bypass was 86%, 79% and 71% at 1, 3 and 5 years, respectively. The limb salvage rate was 85% at 3 years. The cumulative survival rate of the study population was 89%, 82% and 73% at 1, 3 and 5 years, respectively. Conclusions: Femoro-femoral bypass was successful in relieving ischaemic pain and limb salvage in ~ 80% of patients. A 5-year patency rate of 71% was achieved. Femoro-femoral bypass remains a valuable surgical procedure for limb salvage in poor-risk patients with unilateral iliac artery occlusion.en_HK
dc.languageengen_HK
dc.publisherBlackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANSen_HK
dc.relation.ispartofAustralian and New Zealand Journal of Surgeryen_HK
dc.subjectFemoro-femoral bypassen_HK
dc.subjectPatencyen_HK
dc.subjectSurgeryen_HK
dc.subjectSurvivalen_HK
dc.subjectVascularen_HK
dc.titleEighteen-year experience with femoro-femoral bypassen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-8682&volume=70&spage=275&epage=278&date=2000&atitle=Eighteen-year+experience+with+femoro-femoral+bypassen_HK
dc.identifier.emailCheng, SWK: wkcheng@hkucc.hku.hken_HK
dc.identifier.authorityCheng, SWK=rp00374en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1046/j.1440-1622.2000.01806.xen_HK
dc.identifier.pmid10779059-
dc.identifier.scopuseid_2-s2.0-0034083961en_HK
dc.identifier.hkuros48709en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0034083961&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume70en_HK
dc.identifier.issue4en_HK
dc.identifier.spage275en_HK
dc.identifier.epage278en_HK
dc.identifier.isiWOS:000087207400008-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridCheng, SWK=7404684779en_HK
dc.identifier.scopusauthoridHui, J=36730126100en_HK

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