A comparison of antegrade and retrograde mesenteric bypass

Nikhil Kansal, Frank W. LoGerfo, Alana K. Belfield, Frank B. Pomposelli, Allen D. Hamdan, Niren Angle, David R. Campbell, Abiram Sridhar, Julie A. Freischlag, William Quiñones-Baldrich

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Mesenteric artery bypass originating from the supraceliac aorta (antegrade bypass) has been the standard orientation of visceral artery bypass grafts. Retrograde bypass, in which the bypass originates from the iliac arteries, has not been as widely accepted. The purpose of our study was to compare the results of these two types of bypass in a similar population. We retrospectively reviewed the records of patients undergoing mesenteric artery bypass at two tertiary care medical centers (UCLA Medical Center, Beth Israel Deaconess Medical Center). Between February 1992 and January 2001, 37 patients underwent 39 mesenteric bypass procedures, The choice of bypass orientation (antegrade versus retrograde) was determined by the individual surgeon. Chart review, duplex ultrasonography, and/or telephone interviews were used to assess symptom-free survival. Actuarial analysis was completed using Kaplan-Meier survival estimates. From this assessment we were able to determine that symptom-free survival of patients undergoing retrograde mesenteric bypass is similar to that seen in antegrade bypass. Primary retrograde bypass is a valid option for patients undergoing mesenteric bypass.

Original languageEnglish (US)
Pages (from-to)591-596
Number of pages6
JournalAnnals of Vascular Surgery
Volume16
Issue number5
DOIs
StatePublished - Sep 2002

Fingerprint

Mesenteric Arteries
Survival
Actuarial Analysis
Iliac Artery
Kaplan-Meier Estimate
Israel
Tertiary Care Centers
Aorta
Ultrasonography
Arteries
Interviews
Transplants
Population
Surgeons

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Kansal, N., LoGerfo, F. W., Belfield, A. K., Pomposelli, F. B., Hamdan, A. D., Angle, N., ... Quiñones-Baldrich, W. (2002). A comparison of antegrade and retrograde mesenteric bypass. Annals of Vascular Surgery, 16(5), 591-596. https://doi.org/10.1007/s10016-001-0281-7

A comparison of antegrade and retrograde mesenteric bypass. / Kansal, Nikhil; LoGerfo, Frank W.; Belfield, Alana K.; Pomposelli, Frank B.; Hamdan, Allen D.; Angle, Niren; Campbell, David R.; Sridhar, Abiram; Freischlag, Julie A.; Quiñones-Baldrich, William.

In: Annals of Vascular Surgery, Vol. 16, No. 5, 09.2002, p. 591-596.

Research output: Contribution to journalArticle

Kansal, N, LoGerfo, FW, Belfield, AK, Pomposelli, FB, Hamdan, AD, Angle, N, Campbell, DR, Sridhar, A, Freischlag, JA & Quiñones-Baldrich, W 2002, 'A comparison of antegrade and retrograde mesenteric bypass', Annals of Vascular Surgery, vol. 16, no. 5, pp. 591-596. https://doi.org/10.1007/s10016-001-0281-7
Kansal N, LoGerfo FW, Belfield AK, Pomposelli FB, Hamdan AD, Angle N et al. A comparison of antegrade and retrograde mesenteric bypass. Annals of Vascular Surgery. 2002 Sep;16(5):591-596. https://doi.org/10.1007/s10016-001-0281-7
Kansal, Nikhil ; LoGerfo, Frank W. ; Belfield, Alana K. ; Pomposelli, Frank B. ; Hamdan, Allen D. ; Angle, Niren ; Campbell, David R. ; Sridhar, Abiram ; Freischlag, Julie A. ; Quiñones-Baldrich, William. / A comparison of antegrade and retrograde mesenteric bypass. In: Annals of Vascular Surgery. 2002 ; Vol. 16, No. 5. pp. 591-596.
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