Infrapopliteal bypasses to severely calcified, unclampable outflow arteries: Two-year results

Misare, Bruce D.; Pomposelli, Frank B.; Gibbons, G. W.; Campbell, David R.; Freeman, Dorothy V.; LoGerfo, Frank W.

doi:10.1016/s0741-5214(96)70139-8

Cited by 36 publications

(19 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Some reports advise this approach before vein harvest, so that bypass is performed only when an adequate outflow artery is identified. 22 The difference between secondary patency and limb salvage rates is an important issue: in most series, including the present study, the difference is as high as 20%. Hughes et al 16 discussed this finding and associated it with the presence of neuroischemic ulcers; others justified the surgical procedures as a method for improving arterial flow, thus reducing the healing period.…”

Section: Discussionmentioning

confidence: 60%

Vein bypasses to branches of pedal arteries

Brochado-Neto

Cury

Bonadiman

et al. 2012

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 60%

Vein bypasses to branches of pedal arteries

Brochado-Neto

Cury

Bonadiman

et al. 2012

Journal of Vascular Surgery

View full text Add to dashboard Cite

show abstract

“…Primary patency, secondary patency, and foot salvage rates at 24 months were 60%, 65%, and 77%, respectively for the severe calcification group, which did not significantly differ from the no calcification group rates of 74%, 82%, and 93%, respectively 33. Perioperative mortality (0.99% severe calcification verses 0.95% no calcification) and 24-month survival rates (84% severe calcification versus 83% no calcification) were also similar between groups.…”

Section: Distal Anastomotic Targetmentioning

confidence: 66%

Defining risks and predicting adverse events after lower extremity bypass for critical limb ischemia

Siracuse¹,

Huang²,

Gill³

et al. 2014

VHRM

View full text Add to dashboard Cite

Successful treatment of patients with critical limb ischemia (CLI), hinges on the adequacy of revascularization. However, CLI is associated with a severe burden of systemic atherosclerosis, and patients often suffer from multiple cardiovascular comorbidities. Therefore, CLI patients in general represent a cohort at increased risk for procedural complications and adverse events. Although endovascular therapy represents a minimally invasive alternative to open surgical bypass, the durability of surgical reconstruction is superior, and it remains the “gold standard” approach to revascularization in CLI. Therefore, selection of the optimal treatment modality for individual patients requires careful consideration of the procedural risks and likelihood of adverse events associated with surgery. Individualized decision-making with regard to revascularization strategy requires a comprehensive understanding of the likelihood of adverse outcomes after major surgery. Here we review the risks of surgical bypass in patients with CLI, with particular emphasis on the identification of preoperative variables that predict poor outcome.

show abstract

“…6 Excellent results of distal bypass surgery to heavily calficied vessels with traditional techniques have been reported by centres of excellence. 6,13 However, the technical challenges of vessel control in these patients are well known. 1 Heavily calcified vessels can be controlled with the polymer even if the vessel is not mobilised or slung prior to arteriotomy, as long as an adequate portion of the vessel is dissected for creation of the ateriotomy, application of the gel and creation of the distal anastomosis.…”

Section: Discussionmentioning

confidence: 99%