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. 2016;31(1-2):6-10.
doi: 10.23861/ejbm201631744.

Axillobifemoral bypass: a brief surgical and historical review

Priti L Mishall  1 , Jason D Matakas  1 , Keara English  1 , Katherine Allyn  1 , Diane Algava  1 , Ruth A Howe  2 , Sherry A Downie  3
Affiliations

Axillobifemoral bypass: a brief surgical and historical review

Priti L Mishall et al. Einstein J Biol Med. 2016.

Abstract

Peripheral artery disease (PAD) occurs when plaque accumulates in the arterial system and obstructs blood flow. Narrowing of the abdominal aorta and the common iliac arteries due to atherosclerotic plaques restricts blood supply to the lower limbs. Clinically, the lower limb symptoms of PAD are intermittent claudication, discoloration of the toes, and skin ulcers, all due to arterial insufficiency. Surgical revascularization is the primary mode of treatment for patients with severe limb ischemia. The objective of the surgical procedure is to bypass a blockage in an occluded major vessel by constructing an alternate route for blood flow using an artificial graft. This article presents information on aortoiliac reconstruction, with an emphasis on axillobifemoral bypass grafting.

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Conflict of interest statement

The authors have completed and submitted the IDMJE Form for Disclosure of Potential Conflicts of Interest. The authors have no conflicts of interest to report.

Figures

Figure 1
Figure 1
Aortoiliac reconstruction bypass configuration. A. Normal arterial configuration. B. Aortoiliac graft for inferior mesenteric and common iliac blockage. C. Aortoiliac graft for external iliac blockage. D. Axillobifemoral graft (early version). E. Axillobifemoral graft (current version).
Figure 2
Figure 2
Axillobifemoral bypass (AXbiFBG) procedure. Illustrated is the axillary anastomosis (top left), femoral anastomosis (top right), and general configuration (bottom). (After Mannick, J. A., and Nabseth D. C. (1968)).
See this image and copyright information in PMC

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