Composite sequential grafts for femorocrural bypass reconstruction: Experience with a modified technique

Mahmood, Ansar; Garnham, Andrew; Sintler, Martin; Smith, S.R.G.; Vohra, Rajiv; Simms, M.H.

doi:10.1067/mva.2002.127527

Cited by 10 publications

(6 citation statements)

References 31 publications

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“…Interestingly, they found no difference in patency between composite grafts constructed from the arm or leg vein. 26 Several retrospective studies have shown that even alternative veins (other than GSV) have satisfactory patency rates. 3,4,10,11,15,18 Previously, the arm vein was usually used to perform very distal bypass in patients without GSV or as an alternative to preserve the contralateral GSV.…”

Section: Discussionmentioning

confidence: 99%

Infrainguinal Bypass for Peripheral Arterial Occlusive Disease: When Arms Save Legs

Vauclair

Haller

Marques‐Vidal

et al. 2012

European Journal of Vascular and Endovascular Surgery

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Section: Discussionmentioning

confidence: 99%

Infrainguinal Bypass for Peripheral Arterial Occlusive Disease: When Arms Save Legs

Vauclair

Haller

Marques‐Vidal

et al. 2012

European Journal of Vascular and Endovascular Surgery

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“…Mahmood et al have described a composite synthetic and vein graft with spatulated ends, anastomosed with a side-to-side configuration, incorporated into an intermediate-level artery as a single anastomosis 10. This configuration showed promising results offering better compliance matching and with a reported 2-year patency rate of 73% 10.…”

Section: Discussionmentioning

confidence: 99%

“…This configuration showed promising results offering better compliance matching and with a reported 2-year patency rate of 73% 10. However this side-to-side anastomosis creates a deep reservoir with the potential for poor graft angulation at the intermediate site, thereby increasing turbulence and potentially affecting graft patency.…”

Section: Discussionmentioning

confidence: 99%

Case of lower limb revascularisation using composite sequential bypass graft with a ‘diamond’ intermediate anastomosis

2018

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In patients with critical infracrural disease, autologous saphenous vein grafting offers the best reported conduit patency and limb salvage rates but is only feasible in approximately 30% of patients due to the lack of available or suitable vein. In the absence of a suitable length of available vein, various composite grafting techniques have been explored with the aim to improve graft longevity, maximise native vein use and improve overall clinical outcomes, including limb salvage rates. We report a case of a 66-year-old man with critical limb ischaemia and a history of venous disease, where a complex composite sequential bypass graft combining both native vein and synthetic graft, incorporated into a novel intermediate anastomotic technique in a 'diamond' configuration, offered promising results in limb salvage. This case highlights the key steps and advantages in this novel technique.

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“…lnterestingly, they found no difference in patency between composite grafts constructed from the arm or leg vein. 26 Severa! retrospective studies have shown that even alternative veins ( other than GSV) have satisfactory patency rates.…”

Section: Discussionmentioning

confidence: 99%

Infrainguinal Bypass for Peripheral Arterial Occlusive Disease: When Arms Save Legs

Vauclair¹,

Haller²,

Marques-Vidal³

et al. 2012

Journal of Vascular Surgery

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Objective: Carotid artery stenosis is a complication of neck irradiation. We describe the immediate and long-term results of surgical treatment.Methods: This was a retrospective single centre study. From 1996 to 2009, 24 consecutive patients who had in the past received neck radiation therapy (mean 12 years, 1-41 years) underwent 27 primary carotid artery revascularisation procedures. Six patients (23%) had previous radical neck dissection, three permanent tracheostomies and one cervicoplasty with pectoral muscle flap. Indications for surgery included symptomatic (five transient ischaemic attacks (TIAs), four strokes; 34%) and asymptomatic (18 patients, 66%) stenosis. Four patients had occlusion of the contralateral carotid. General anaesthesia without shunting was used with measurement of stump pressure. Carotid interposition bypass grafting included 23 vein grafts and three Polytetrafluoroethylene (PTFE) grafts.Results: No perioperative deaths or central neurological events occurred. Three patients suffered transient cranial nerve injuries. Eleven patients died during follow-up, mean interval of 28 months (range 6 -120 months), of causes unrelated to surgery. Five patients had recurrent bypass stenosis with one TIA and one stroke. All other surviving patients remained asymptomatic.Conclusion: Despite no comparative study as evidence, we think that the perioperative risk of stroke is at least comparable with the risk encountered for angioplasty procedures. Evaluation of Radiation during EVAR Performed on a Mobile C-armMaurel B., Sobocinski J., Perini P., Guillou M., Midulla M., Azzaoui R., Haulon S. Eur J Vasc Endovasc Surg 2012;43:17-22.

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Composite sequential grafts for femorocrural bypass reconstruction: Experience with a modified technique

Cited by 10 publications

References 31 publications

Infrainguinal Bypass for Peripheral Arterial Occlusive Disease: When Arms Save Legs

Infrainguinal Bypass for Peripheral Arterial Occlusive Disease: When Arms Save Legs

Case of lower limb revascularisation using composite sequential bypass graft with a ‘diamond’ intermediate anastomosis

Infrainguinal Bypass for Peripheral Arterial Occlusive Disease: When Arms Save Legs

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