The "Pull, Cast, and Fix" Technique for Bypass in the Midpopliteal (P2) Arterial Segment in Chronic Femoropopliteal Occlusions.
Ann Vasc Surg
; 71: 523-527, 2021 Feb.
Article
en En
| MEDLINE
| ID: mdl-32949738
Femoropopliteal bypass operations can be difficult when the occlusive disease involves the superficial femoral artery and the popliteal arterial segment above the knee joint (supragenicular artery, P1). In case of lack of suitable vein graft or when the surgeon wishes to spare to infrapopliteal segment, the choice of the midpopliteal artery as anastomotic site becomes challenging because of its location. Moreover, totally endovascular recanalization procedures in such cases can be complex and demanding, whereas other reported hybrid revascularization techniques require advanced technical skills and raise significantly the cost. Therefore, we present our suggestion of a "pull, cast, and fix" technique to encounter these challenges and facilitate a successful bypass with a synthetic graft in the upper midpopliteal (P2) segment, combing a secure endarterectomy and anastomosis even under marginal visualization by means of securing the lumen with a soft feeding tube after the artery has been pulled via a Satinsky vascular clamp. Accordingly, the procedure is accomplished with placement of a flexible self-expandable stent in the midpopliteal artery through the synthetic graft.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Arteria Poplítea
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Implantación de Prótesis Vascular
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Arteria Femoral
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Enfermedad Arterial Periférica
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Procedimientos Endovasculares
Límite:
Humans
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Middle aged
Idioma:
En
Revista:
Ann Vasc Surg
Asunto de la revista:
ANGIOLOGIA
Año:
2021
Tipo del documento:
Article