Enrico Ascer, MD, Frank J. Veith, MD, Sushil K. Gupta, MD

Slides:

Advertisements

Similar presentations

Suggested standards for reports dealing with lower extremity ischemia

Advertisements

A review of 100 consecutive reconstructions of the distal vertebral artery for embolic and hemodynamic disease Ramon Berguer, MD, PhD, Mark D. Morasch,

Is long vein bypass from groin to ankle a durable procedure

The impact of arterial pedal arch quality and angiosome revascularization on foot tissue loss healing and infrapopliteal bypass outcome Hisham Rashid,

Keith D. Calligaro, MD. , Enrico Ascer, MD, Frank J

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Tibiotibial vein bypass grafts: A new operation for limb salvage

Unusual surgical exposures to avoid scarred or infected standard access routes to the common femoral, deep femoral, and popliteal arteries Frank J. Veith,

Result of bypass grafting for upper limb ischemia

Lloyd M. Taylor, M.D., Edward S. Phinney, M.D., John M. Porter, M.D.

Kakra Hughes, MD, Christoph M. Domenig, MD, Allen D

Pedal bypass versus tibial bypass with autogenous vein: A comparison of outcome and hemodynamic results Joseph R. Schneider, MD, PhD, Daniel B. Walsh,

Bypass to the perigeniculate collateral vesselsA useful technique for limb salvage: Preliminary report on 22 patients Xavier Barral, MD, Gholam R. Salari,

Technique for obtaining proximal intraluminal control when arteries are inaccessible or unclampable because of disease or calcification Frank J. Veith,

Pseudoaneurysm of the lateral plantar artery after foot laceration

Suboccipital approach to the distal vertebral artery

A new valvulotome for in situ bypass grafts

Enrique Criado, MD, Steven J. Burnham, MD, Ellis A

Axillofemoral bypass: A tool with a limited role

Malcolm O. Perry, MD, Richard Kempczinski, MD

Recurrent thoracic outlet syndrome

Andrea Mingoli, MD, Paolo Sapienza, MD, Richard J

Percutaneous transluminal angioplasty for the treatment of limb threatening ischemia: Do the results justify an attempt before bypass grafting? Richard.

Axillopopliteal bypass for limb salvage

Bruce D. Misare, MD, Frank B. Pomposelli, MD, Gary W

Infrainguinal revascularizations in octogenarians and septuagenarians

Walter J. McCarthy, MD, William H. Pearce, MD, William R

Lateral approach to the popliteal artery

Endovascular aortoiliac grafts in combination with standard infrainguinal arterial bypasses in the management of limb-threatening ischemia: Preliminary.

Vascular disease, matrix abnormalities, and neuropathy: Implications for limb salvage in diabetes mellitus Frank W. LoGerfo, M.D. Journal of Vascular.

Joseph L. Mills, MD, Spence M. Taylor, MD, Roy M. Fujitani, MD

Suboccipital approach to the distal vertebral artery

Dorsalis pedis arterial bypass: Durable limb salvage for foot ischemia in patients with diabetes mellitus Frank B. Pomposelli, MD, Edward J. Marcaccio,

Six-year prospective multicenter randomized comparison of autologous saphenous vein and expanded polytetrafluoroethylene grafts in infrainguinal arterial.

Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia Alan M. Dietzek,

Suggested standards for reports dealing with lower extremity ischemia

Tibial bypass grafting for limb salvage with ringed polytetrafluoroethylene prostheses: Results of primary and secondary procedures Hans Schweiger, MD,

Long-term outcome after early infrainguinal graft failure

Prospective, randomized comparison of ringed and nonringed polytetrafluoroethylene femoropopliteal bypass grafts: A preliminary report Sushil K. Gupta,

Philip S. K. Paty, MD, Dhiraj M. Shah, MD, Javid Saifi, MD, Benjamin B

Eleven-year experience with tibiotibial bypass: An unusual but effective solution to distal tibial artery occlusive disease and limited autologous vein

An improved retraction system for vascular surgical procedures

Long-term assessment of cryopreserved vein bypass grafting success

Keith D. Calligaro, MD. , Enrico Ascer, MD, Frank J

Anthony D. Whittemore, MD, Magruder C. Donaldson, MD, John A

Ankle and foot fasciotomy: An adjunctive technique to optimize limb salvage after revascularization for acute ischemia Enrico Ascer, MD, Berish Strauch,

A modified method for management of prosthetic graft infections involving an anastomosis to the common femoral artery Keith D. Calligaro, MD *, Frank.

John D. Martin, MD, Leigh Delbridge, MD. , Thomas S. Reeve, MD. , G

Gangrene of the immediate postoperative above-knee amputation stump: Role of emergency revascularization in preventing death T.J. Bunt, M.D. Journal.

Complications of iliac artery stent deployment

Composite sequential bypasses to the ankle and beyond for limb salvage

Popliteal artery aneurysms

Steven P. Rivers, MD, Larry Scher, MD, Frank J. Veith, MD

Surgical treatment of threatened reversed infrainguinal vein grafts

James E. Edwards, MD, Lloyd M. Taylor, MD, John M. Porter, MD

Angioscopy-guided semiclosed technique for in situ bypass with a novel flushing valvulotome: Early results Peter Stierli, MD, Peter Aeberhard, MD Journal.

Surgical management of severe acute lower extremity ischemia

Functional foot salvage after extensive plantar excision and amputations proximal to the standard transmetatarsal level Kumar R. Patel, MD, Federico.

Carotid biaxillary bypass: A new operation

Peter G. Kalman, M. D. , Marilyn Hosang, R. N. , Claudio Cina, M. D

Homologous veins as an arterial substitute: Long-term results

Long-term results of arterial allograft below-knee bypass grafts for limb salvage: A retrospective multicenter study J.N. Albertini, MD, X. Barral, MD,

Gary A. Tannenbaum, MD, Frank B. Pomposelli, MD, Edward J

Scott A. Berceli, MD, PhD, Allen K. Chan, MD, Frank B

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Innominate artery trauma: A thirty-year experience

Benjamin B. Chang, MD, R. Clement Darling, MD, Devon E. M

Brachial artery injury after cardiac catheterization

The posterior approach to popliteal-crural bypass

Superficial femoral artery eversion endarterectomy: A useful adjunct for infrainguinal bypass in the presence of limited autogenous vein Spence M. Taylor,

Presentation transcript:

Bypasses to plantar arteries and other tibial branches: An extended approach to limb salvage Enrico Ascer, MD, Frank J. Veith, MD, Sushil K. Gupta, MD Journal of Vascular Surgery Volume 8, Issue 4, Pages 434-441 (October 1988) DOI: 10.1016/0741-5214(88)90107-3 Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Positioning of the distal anastomosis for bypasses to branches of tibial arteries. A, Limiting the anastomosis to a short tibial segment may give rise to turbulence with subsequent graft thrombosis. B, Preferred technique of placing the distal anastomosis directly into the patent recipient branch. Journal of Vascular Surgery 1988 8, 434-441DOI: (10.1016/0741-5214(88)90107-3) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Diagram shows the two major branches of the posterior tibial artery. The lateral plantar artery is usually the larger and forms the deep pedal arch. Journal of Vascular Surgery 1988 8, 434-441DOI: (10.1016/0741-5214(88)90107-3) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Diagram shows exposure of the distal portion of the posterior tibial artery and the lateral and medial plantar branches. This can be accomplished by incision of the flexor retinaculum and the abductor hallucis muscle. The larger lateral plantar branch is usually inferior to the medial plantar branch when the foot is externally rotated in the supine position. Journal of Vascular Surgery 1988 8, 434-441DOI: (10.1016/0741-5214(88)90107-3) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Diagram shows the deep plantar arch as the main terminal branch of the dorsalis pedis artery. Insert highlights the origin of the deep plantar branch and its downward course between the base of the first and second metatarsal bones. This exposure is facilitated by the lateral retraction of the extensor hallucis brevis muscle. Journal of Vascular Surgery 1988 8, 434-441DOI: (10.1016/0741-5214(88)90107-3) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Diagram A illustrates the entire exposure of the deep plantar arch branch after partial resection of the second metatarsal bone. Placement of the distal anastomosis can be easily accomplished through this exposure (B). Journal of Vascular Surgery 1988 8, 434-441DOI: (10.1016/0741-5214(88)90107-3) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Overall cumulative life-table primary graft patency rates for all 24 bypasses. Number of patients at risk and standard error are shown at each interval. Journal of Vascular Surgery 1988 8, 434-441DOI: (10.1016/0741-5214(88)90107-3) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 7 Management and outcomes of the 24 bypasses. Group 1, Lateral plantar branches; group 2, medial plantar branches; group 3, deep plantar branches; group 4, lateral tarsal branches; group 5, unnamed muscular branches. →, patent graft; x, occluded graft; ν viable with a closed graft; r, reoperation for closed graft; o, amputation with patent graft; †, death; BKA, below-knee amputation. Journal of Vascular Surgery 1988 8, 434-441DOI: (10.1016/0741-5214(88)90107-3) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 8 Cumulative life-table primary graft patency rates for the 20 bypasses to foot branches. Number of patients at risk and standard error are shown at each interval. Journal of Vascular Surgery 1988 8, 434-441DOI: (10.1016/0741-5214(88)90107-3) Copyright © 1988 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions