RT Book, Section
A1 Ellison, E. Christopher
A1 Zollinger, Robert M.
SR Print(0)
ID 1127274903
T1 AORTOFEMORAL BYPASS
T2 Zollinger's Atlas of Surgical Operations, 10e
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-179755-9
LK accesssurgery.mhmedical.com/content.aspx?aid=1127274903
RD 2023/03/23
AB Only  patients  with  severe  and  debilitating  occlusive  disease  of  the  aortoiliac  segment  should  be  considered  for  surgery.  Initial  management  of  aortoiliac  occlusive  disease  is  often  via  endovascular  methods.  In  general,  these  patients  will  have  claudication  that  is  progressing  or  disabling.  Patients  with  rest  pain,  ulceration,  or  gangrene  may  require  surgery  to  preserve  limb  function.  These  patients  are  generally  elderly  and  have  associated  generalized  atherosclerosis  with  a  high  incidence  of  coronary  artery  disease  and  hypertension.  In  addition,  the  majority  are  long-time  smokers,  and  it  is  not  unusual  for  them  to  have  impaired  pulmonary  function.  The  risks  associated  with  these  comorbidities  must  be  carefully  weighed  against  the  benefits  expected  from  a  successful  surgical  procedure.  The  careful  selection  of  patients  is  of  the  utmost  importance.