Joscha Mulorz1, Markus Udo Wagenhäuser2, Yvonne Kongju Meyer-Janiszewski1, Philip Düppers1, Florian Simon1, Hubert Schelzig1, Mansur Duran3. 1. Department of Vascular and Endovascular Surgery, University Hospital Düsseldorf, Düsseldorf, Germany. 2. Department of Vascular and Endovascular Surgery, University Hospital Düsseldorf, Düsseldorf, Germany; Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford University, Stanford, CA. 3. Department of Vascular and Endovascular Surgery, University Hospital Düsseldorf, Düsseldorf, Germany. Electronic address: mansur.duran@med.uni-duesseldorf.de.
Abstract
BACKGROUND: There are several options for treating patients suffering from chronic mesenteric ischemia (CMI). One possibility contains bypass grafting following a left renal route to avoid inter alia kinking of the bypass. This study reviews the results of 16 patients suffering from CMI treated with this bypass technique, called "French Bypass" (FB). METHODS: A retrospective study conducted between June 1, 2002, and December 31, 2015. Sixteen patients were included with an average age of 54.6 years (10 women) who were treated with FB. Risk factors, surgical course, and follow-up were evaluated. RESULTS: Average stay in hospital took 28.4 days, with mostly minor complications occurring. Overall, 4 cases of FB occlusion were diagnosed in between 30 days after surgery, of which 3 made interventions necessary. Primary patency rates were 75%/56%/56% after 12/24/60 months. Overall survival rate after 60 month was 78%. CONCLUSIONS: The FB is a sufficient option for treatment of CMI combining advantages of anterograde and retrograde bypass grafting, with comparable outcome to established techniques in visceral vessel reconstruction.
BACKGROUND: There are several options for treating patients suffering from chronic mesenteric ischemia (CMI). One possibility contains bypass grafting following a left renal route to avoid inter alia kinking of the bypass. This study reviews the results of 16 patients suffering from CMI treated with this bypass technique, called "French Bypass" (FB). METHODS: A retrospective study conducted between June 1, 2002, and December 31, 2015. Sixteen patients were included with an average age of 54.6 years (10 women) who were treated with FB. Risk factors, surgical course, and follow-up were evaluated. RESULTS: Average stay in hospital took 28.4 days, with mostly minor complications occurring. Overall, 4 cases of FB occlusion were diagnosed in between 30 days after surgery, of which 3 made interventions necessary. Primary patency rates were 75%/56%/56% after 12/24/60 months. Overall survival rate after 60 month was 78%. CONCLUSIONS: The FB is a sufficient option for treatment of CMI combining advantages of anterograde and retrograde bypass grafting, with comparable outcome to established techniques in visceral vessel reconstruction.