Result of bypass grafting for upper limb ischemia

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Presentation transcript:

Result of bypass grafting for upper limb ischemia Walter J. McCarthy, M.D., William R. Flinn, M.D., James S.T. Yao, M.D., Ph.D., Larry R. Williams, M.D. *, John J. Bergan, M.D. Journal of Vascular Surgery Volume 3, Issue 5, Pages 741-746 (May 1986) DOI: 10.1016/0741-5214(86)90038-8 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Anatomy of left forearm. Notice relation between the median nerve and the anterior interosseous artery. Surgical dissection does not normally require transection of the pronator teres muscle. (Modified from Sobota J. Atlas of human anatomy, vol. 3. New York: Hafner Publishing, 1963.) Journal of Vascular Surgery 1986 3, 741-746DOI: (10.1016/0741-5214(86)90038-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Cross section of forearm shows exposure of the interosseous artery following the plane above the flexor digitorum profundus. (Adapted from Henry AK. Extensile exposure. Edinburgh: E & S Livingstone, 1966:107-9.) Journal of Vascular Surgery 1986 3, 741-746DOI: (10.1016/0741-5214(86)90038-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Completion arteriogram shows reversed saphenous vein graft with distal anastomosis to the anterior interosseous artery. Journal of Vascular Surgery 1986 3, 741-746DOI: (10.1016/0741-5214(86)90038-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Life table demonstrates overall patency in entire group. Cumulative primary patency rate is 73% at 2 years and 67% at 3 years. Journal of Vascular Surgery 1986 3, 741-746DOI: (10.1016/0741-5214(86)90038-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Life-table analysis of primary patency rates (2 years) of upper extremity bypass grafts. Upper = distal anastomosis above brachial artery bifurcation; lower = distal anastomosis below brachial artery bifurcation. Journal of Vascular Surgery 1986 3, 741-746DOI: (10.1016/0741-5214(86)90038-8) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions