Axillary-Popliteal Artery Bypass Provides Successful Limb Salvage After Removal of Infected Aortofemoral Grafts

Walter J. McCarthy*, Gregory S. McGee, William W. Lin, William H. Pearce, William R. Flinn, James S.T. Yao

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Axillary-popliteal artery bypasses were placed to revascularize 28 extremities for 17 patients who were undergoing removal of infected aortofemoral grafts. Polytetrafluoroethylene (PTFE [polytef] material was anastomosed to the above-knee popliteal artery in 22 cases and to the below-knee popliteal artery in six limbs. All but one patient had axillary-popliteal grafts in place before excision of the aortic graft. In 12 groins, vein-patch angioplasty was performed after removal of the infected aortic graft to provide retrograde pelvic perfusion and maintain femoral patency for future reconstruction. Three patients (18%) died of septic-related, multisystem organ failure. With a mean follow-up of 25 months, primary patency was 75% at 1 year and 43% at 2 years. Secondary patency, maintained by thrombectomy (n=7), revision (n=3), and conversion to warfarin sodium (Coumadin) therapy (n=6) was 100% at 2 years, and limb salvage was achieved for all surviving patients.

Original languageEnglish (US)
Pages (from-to)974-978
Number of pages5
JournalArchives of Surgery
Volume127
Issue number8
DOIs
StatePublished - Aug 1992

ASJC Scopus subject areas

  • Surgery

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