J Korean Vasc Surg Soc.  1997 Jun;13(1):120-123.

Kinking of Axillobifemoral Bypass Graft: A case report

• Kim GE
• Cho YP
• Choi BU
• Kwon TW

Abstract

Axillofemoral bypass has been the preferred procedure for high risk patients who have aorto-iliac occlusive disease since the introduction of the procedure by Blaisdell in 1963. Widespread use of axillo- femoral bypass was limited in the past because long-term patency rates were inferior to aorto-femoral bypass. Since the mid-1980s, patency rates achieved with axillofemoral bypass have improved with the use of the externally supported prosthesis and the evolution of surgical thchnique. Reported pimary patency of axillo-femoral bypass is in excess of 70% at 5 years. Nowadays axillo-femoral bypass is a procedure of choice in elderly patients with associated comorbid risk factors, and its results is comparable to aorto-femoral bypass.The authors experienced one case of graft malfunction due to kinking of the graft at mid-portion which may not be infrequent.

Keyword

Axillofemoral bypass; Kinking

MeSH Terms

Aged
Humans
Prostheses and Implants
Risk Factors
Transplants*