Long Grafts in the Treatment of Combined Iliac and Femoral Artery Disease
The long graft is defined in this paper as from the common iliac artery or sometimes the aorta to the popliteal artery. The distal popliteal is preferred to the proximal part because in advanced atherosclerosis it is nearly always less diseased so that technical failure is rare. We have used the long graft in two circumstances. The first is when a femoropopliteal vein graft is indicated but no long saphenous vein is available. The second indication which is the subject of this presentation occurred in 21 patients (24 grafts) with combined iliac and femoral artery disease. All the patients were suffering from critical ischaemia and were subjects for early amputation if a reconstruction could not be carried out (Fig. 1).
KeywordsIliac Artery Popliteal Artery Common Iliac Artery Dacron Graft Graft Thrombosis
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