Suggested approach for end to side anastomosis to the abdominal aorta in aorto-femoral bypass grafting for aorto-iliac occlusive disease

For surgical treatment of aorto-iliac occlusive diseases the prosthetic grafts are used for aorto-femoral bypass in which the end to side anastomoses are done on anterior aspect of aorta, But this approach is leading to some disadvantages caused by gravity or pressure imposed by abdominal viscera and resulting to kinking to the anastomotic area between the vertebral column and viscera which brings about turbulence, platelet aggregation, thrombus formation, and its organization which finally occludes the lumen, Nazem's method of lateral end-to-side anastomosis preferably to the left side of aorta will be without the mentioned bad onsequences, thereby greatly reducing mortality and morbidity, We recommend the intersted academic groups use our method, which follows and we welcome them sharing their results with us.