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To study the surgical treatment of infrarenal aortic and iliac arterial occlusive disease.
We analyzed 267 patients with arterial occlusive diseases of the abdominal aorta and iliac artery retrospectively.
All the patients were treated by surgery including aortic-iliac bypass in 145 patients, iliac-femoral bypass in 40, femoro-femoral bypass in 45, and axillo-femoral bypass in 37. Their total effective rate and perioperative mortality were 96.5% and 3.5%, respectively. Of the 267 patients, 178 were followed up. The patency rate of prosthesis was 82.0%.
Extra-anatomical bypass is a procedure of choice for high-risk patients, especially for those chronic patients with coronary heart disease, hypertension, cerebral arterial atherosclerosis, and brain infarction.