The axillo-profunda bypass provides a good solution to distal revasculari zation when it is necessary to remove an infected aorto-femoral graft in a patient with occluded superficial femoral arteries. This modification of the standard axillo-femoral procedure provides revascularization through a clean field while avoiding the additional length of an axillo-popliteal graft. Two important technical considerations are the lateral placement of the tunnel so as to avoid contamination from the infected inguinal site and the selection of a small diameter graft.
Yashar JJ, Weyman AK, Burnard RJ and Yashar J.: Survival and limb salvage in patients with infected arterial prostheses. Am J Surg135:499, 1978.
3.
Hershey FB and Calman CH: Atlas of Vascular Surgery. St. Louis, CV Mosby, 1973, Chap 6.
4.
Smith RD, Perdue GD, Hyatt HC and Ansley JD: Management of the infected aortofemoral prosthesis including use of an axillo-popliteal bypass. Am Surg43:65, 1977.
