Transiliac wing alternate route bypass for infected groin vascular graft

Heldenberg, Eitan; Lorber, Jonathan; Cheyn, David; Bass, Arie

doi:10.1016/j.jvs.2013.08.042

Cited by 6 publications

(7 citation statements)

References 2 publications

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“…Trans-iliac bypass is reported only infrequently in the literature, but appears to be a safe approach with acceptable patency 2, 3, 4, 5. Proximal anastomosis to the aorta 2 or the common iliac artery3, 4, 5 is preferred to avoid kinking of the graft. If required, the distal anastomosis can reach as far as the tibial artery 2 by lateral exposure.…”

Section: Discussionmentioning

confidence: 99%

“…Proximal anastomosis to the aorta 2 or the common iliac artery3, 4, 5 is preferred to avoid kinking of the graft. If required, the distal anastomosis can reach as far as the tibial artery 2 by lateral exposure. Favre et al 4 .…”

Section: Discussionmentioning

confidence: 99%

“…No cases of closure of the iliac wing fenestration from osteogenesis have been observed 2, 3, 4, 5. Prosthetic grafts were used in the majority,2, 3, 4, 5 but a vein or a composite bypass may be preferable in bypasses to the below knee arteries. One case 3 of trans-iliac bypass with a lateral approach to the popliteal artery is described.…”

Section: Discussionmentioning

confidence: 99%

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Trans-iliac Bypass for Critical Limb Ischaemia with Groin Necrosis: A Case Report

Lounes¹,

Ozdemir²,

Alric³

et al. 2019

EJVES Short Reports

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IntroductionInfections at the level of the groin involving native or prosthetic vessels are typically bypassed using the obturator canal. However, extensive wounds or infections, particularly those involving the medial compartment of the thigh, can preclude this approach.ReportA 66 year old male with diabetes mellitus presented after several previous revascularisations of the femoral artery with extensive necrosis of the groin and critical limb ischaemia with necrotic changes in the toes. An iliopopliteal bypass through the iliac wing was planned because of the extent of the infection.DiscussionThe post-operative course was uneventful with complete resolution of tissue loss at one year follow up.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Trans-iliac Bypass for Critical Limb Ischaemia with Groin Necrosis: A Case Report

Lounes¹,

Ozdemir²,

Alric³

et al. 2019

EJVES Short Reports

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“…The distal anastomosis was realized with a clod stored venous graft to the retro articular popliteal artery by an external access.The patient presented favourable outcomes with rapid discharge and cicatrisation of the necrosis toes with a pedis palpable pulse. We checked the cicatrisation and the patency at three month with persistence of the pedis palpable pulse.Trans iliac bypass are not a well-known technic to treat groin infection and are rarely described in the literature 2,3,4,5 . However this approach is easy to performed and had good patency 2,3,4,5 .…”

mentioning

confidence: 99%

“…We checked the cicatrisation and the patency at three month with persistence of the pedis palpable pulse.Trans iliac bypass are not a well-known technic to treat groin infection and are rarely described in the literature 2,3,4,5 . However this approach is easy to performed and had good patency 2,3,4,5 . This case is the first in the literature to describe a distal anastomosis to the popliteal artery by external access, but this approach seems to be a better access for this bypass allowing a more direct and short implantation.…”

mentioning

confidence: 99%

Trans-Iliac Bypass for a Critical Limb Ischemia with Groin Necrosis: A Case Report

Lounes¹,

Hostalrich²,

Alric³

et al. 2019

European Journal of Vascular and Endovascular Surgery

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Trans-Iliac Bypass Grafting for Vascular Groin Complications

Enzmann

Nierlich

Eder

et al. 2019

European Journal of Vascular and Endovascular Surgery

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WHAT THIS PAPER ADDS This represents the largest series of trans-iliac bypass grafting to date, with a review of the published data. An evaluation of this rare extra-anatomic bypass technique was performed. Patency as well as limb salvage and patient survival were good and may be comparable to those reported for autologous in situ repair and obturator canal bypass grafting. Objectives: Groin complications following vascular reconstruction, extensive trauma, or severe radiation induced scarring may complicate future revascularisation procedures of the lower limb. Although several techniques have been described, only few cases of trans-iliac bypass grafting have been published. The aim of this study was to perform a review of the literature on trans-ilac bypass grafting and add the authors' experience. Methods: A single centre retrospective data analysis and a literature review of all trans-iliac bypass procedures was performed. Data on indication, patency, limb salvage, and survival were collected. Study endpoints were patency, limb salvage, and patient survival. Results: Eight trans-iliac wing bypass grafting procedures were performed in our institution between 2003 and 2018, which represents the largest single centre series. Twenty-three procedures were reported in the literature between 1989 and 2018. Prior to the bypass procedure in the eight patients, six had local infection and two irradiation of the groin. The indication for operation was ischaemia in six cases, bleeding in one case, and infection in another case. The external iliac artery was most often used for the proximal (6 cases) and the superficial femoral artery for distal anastomosis (6 cases). Great saphenous vein was the most commonly used graft material (6 cases). The median follow up was five years with three bypass occlusions after 1, 2, and 8 months, followed by two successful thrombectomy procedures. There were no major amputations and only one death after five months, which was not procedure related. Conclusions: Trans-iliac bypass grafting is a viable alternative extra-anatomic bypass technique in patients with vascular groin complications. Patency as well as limb salvage and survival are good and may be comparable to those reported for autologous in situ repair and obturator canal bypass grafting.

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Transiliac wing alternate route bypass for infected groin vascular graft

Cited by 6 publications

References 2 publications

Trans-iliac Bypass for Critical Limb Ischaemia with Groin Necrosis: A Case Report

Trans-iliac Bypass for Critical Limb Ischaemia with Groin Necrosis: A Case Report

Trans-Iliac Bypass for a Critical Limb Ischemia with Groin Necrosis: A Case Report

Trans-Iliac Bypass Grafting for Vascular Groin Complications

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