Key result
Femorofemoral crossover bypass grafting yielded similar 5-year primary graft patency compared to iliofemoral bypass (81.7% vs 61.3%, NS) for unilateral iliac artery occlusive disease.
Why the study?
Does femorofemoral crossover bypass provide comparable patency and limb salvage to iliofemoral bypass in patients with unilateral iliac artery occlusive disease?
Population
108 patients with unilateral iliac artery occlusive disease who underwent revascularization between January…
Comparison
Femorofemoral crossover extra-anatomic bypass vs Iliofemoral anatomic bypass
Design
Cohort
Follow-up
5 years
Authors
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Supports either technique for unilateral iliac disease; leaves open superiority without randomized confirmation.
Cohort (n=108)
No
Does femorofemoral crossover bypass provide comparable patency and limb salvage to iliofemoral bypass in patients with unilateral iliac artery occlusive disease?
Absolute Event Rate: 81.7% vs 61.3%
p-value: p=NS
Femorofemoral crossover bypass and iliofemoral bypass provide comparable long-term patency and limb salvage rates for unilateral iliac artery occlusive disease, though femorofemoral bypass may be preferred as it avoids a retroperitoneal incision.
Nazzal et al. (1998) conducted a cohort in Unilateral iliac artery occlusive disease (n=108). Femorofemoral crossover bypass grafting vs. Iliofemoral bypass grafting was evaluated on 5-year primary graft patency (p=NS). Femorofemoral crossover bypass grafting yielded similar 5-year primary graft patency compared to iliofemoral bypass (81.7% vs 61.3%, NS) for unilateral iliac artery occlusive disease.
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