Aorto-bi-Femoral Bypass for Aorto-Iliac Occlusive Disease: Recent Experience at the National Institute of Cardiovascular Diseases (NICVD).

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dc.contributor.authorBashar, A H M
dc.contributor.authorHossain, G M M
dc.contributor.authorHakim, E
dc.contributor.authorMondol, N C
dc.contributor.authorSabah, M N
dc.contributor.authorHossain, M F
dc.contributor.authorDey, N K
dc.contributor.authorSamad, S
dc.contributor.authorMamun, A A
dc.contributor.authorHaroon, K
dc.contributor.authorIslam, M F
dc.contributor.authorKhan, A K
dc.contributor.authorFerdous, S
dc.contributor.authorRahman, M
dc.contributor.authorBeg, A K
dc.contributor.authorAlam, S A N
dc.date.accessioned2015-12-15T06:16:51Z
dc.date.available2015-12-15T06:16:51Z
dc.date.issued2011
dc.description.abstractBackground & Objectives: Aorto-bi-femoral bypass is one of the most important surgical strategies in vascular surgical practice. The procedure is employed in surgical revascularization for both stenotic and aneurysmal diseases involving the aorto-iliac segment. The present study was carried out to analyze our recent experiences with this procedure for aorto-iliac occlusive diseases (AIOD) at the National Institute of Cardiovascular Diseases (NICVD). Materials and Methods: Over a period of 3 years (April 2008 to March 2011), a total of 47 patients underwent aorto-bi-femoral or aorto-bisiliac bypass grafting for AIOD using a Y-graft prosthesis. The mean age of the patients was 46.4 years (range 25-75 years). Thirty eight of the patients were male and the remaining 9 were female. A retroperitoneal approach was used in 27 patients. In the remaining 20 patients, the operation was done using a transperitoneal approach. A Gelatin-coated Dacron Y-graft prosthesis was used in 43 (5 of which were silver-coated prosthesis) patients while PTFE (Polytetrafluoroethylene) prosthesis was used in the remaining 4 patients. The operation was carried out under epidural anesthesia with sedation in most cases. Results: The operation was well-tolerated in all patients. There was no intraoperative mortality in this series. Two patients died in the immediate post-operative period- one due to myocardial infarction and the other due to acute renal shut-down leading to renal failure accounting for a mortality rate of 4.3%. Wound infection and lymphorrhoea at the groin incision site were the two main immediate post-operative complications. There was no incidence of graft infection in this series. Twelve patients were available for post-operative follow-up up to 2 years. Out of them, 5 patients returned with occluded grafts 8-23 months after the operation. Three of these patients underwent graft excision with re-do Y-graft bypass. The remaining two were treated with extra-anatomic bypass (Axillobifemoral). Conclusions: Aorto-bi-femoral bypass is an effective surgical strategy for occlusive diseases involving the abdominal aorta and the iliac arteries. The procedure is well-tolerated with a low incidence of early post-procedural complications and graft failure. However, poor adherence of the patients to follow-up remains a significant obstacle for evaluating the long-term outcome of this procedure.en_US
dc.identifier.citationA H M Bashar, G M M Hossain1, E Hakim1, NC Mondol, M N Sabah, M F Hossain, N K Dey, S Samad, A A Mamun, K Haroon, M F Islam, A K Khan, S Ferdous, M Rahman, AK Beg, S A N Alam. Aorto-bi-Femoral Bypass for Aorto-Iliac Occlusive Disease: Recent Experience at the National Institute of Cardiovascular Diseases (NICVD). Cardiovascular Journal. 2011; 4(1): 26-31.en_US
dc.identifier.issn2071-0917
dc.identifier.issn2309-6357
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/168169
dc.language.isoenen_US
dc.source.urihttps://www.banglajol.info/index.php/CARDIO/article/view/9386en_US
dc.subjectAorto-Iliac Occlusive Diseaseen_US
dc.subjectAorto-bi-Femoral Bypassen_US
dc.titleAorto-bi-Femoral Bypass for Aorto-Iliac Occlusive Disease: Recent Experience at the National Institute of Cardiovascular Diseases (NICVD).en_US
dc.typeArticleen_US
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