Surgical treatment of venous obstruction and insufficiency

Slides:

Advertisements

Similar presentations

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

Advertisements

Bypass graft to the contralateral internal jugular vein for venous outflow obstruction of a functioning hemodialysis access fistula Jeff L. Myers, MD,

Marshall E. Benjamin, MD, E. Jerry Cohn, MD, William A

Peter Gloviczki, MD, Peter C. Pairolero, MD, Barbara J

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

Venous claudication successfully treated by distal superficial femoral—to—greater saphenous venous bypass Mouhamad O. Annous, M.D., Luis A. Queral, M.D.

Result of bypass grafting for upper limb ischemia

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

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

Effect of a femoral arteriovenous fistula on lower extremity venous hemodynamics after femorocaval reconstruction Sunil S. Menawat, MD, Peter Gloviczki,

Nontraumatic mesenteric vascular emergencies

Hernan A. Bazan, MD, Harry Schanzer, MD Journal of Vascular Surgery

Persistent sciatic artery and vein: An unusual case

Creation and closure of temporary arteriovenous fistulas for venous reconstruction or thrombectomy: Description of technique Richard J. Sanders, M.D.,

A new valvulotome for in situ bypass grafts

Anthony J. Comerota, MD, Steven S. Gale, MD

Treatment of venous malformations by direct injection with ethanol

Jeffrey R. Rubin, M.D., James M. Malone, M.D., Jerry Goldstone, M.D.

Marshall E. Benjamin, MD, E. Jerry Cohn, MD, William A

The first operation on the profunda femoris artery

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

Interposition grafting for reoperation on the common femoral artery

Martha D. McDaniel, M. D. , William H. Pearce, M. D. , James S. T

Ramon Berguer, MD, PhD, J.A. Gonzalez, MD Journal of Vascular Surgery

Internal jugular to axillary vein bypass for subclavian vein thrombosis in the setting of brachial arteriovenous fistula John D. Puskas, MD, Jonathan.

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

Peter Gloviczki, MD, Peter C. Pairolero, MD, Kenneth J

Walter J. McCarthy, MD, Charles L. Mesh, MD, William D

Use of the splenic and hepatic arteries for renal revascularization

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

Arteriovenous fistula construction in the thigh with transposed superficial femoral vein: Our initial experience Wayne S. Gradman, MD, William Cohen,

First textbook in vascular surgery

Edward J. Bartle, M. D. , William H. Pearce, M. D. , John H. Sun, M. D

Axillary grafts for difficult hemodialysis access

Exclusion of a sciatic artery aneurysm and an obturator bypass

Autogenous aortoiliac/femoral reconstruction from superficial femoral–popliteal veins: Feasibility and durability G.Patrick Clagett, MD, R.James Valentine,

Comparison between the transabdominal and retroperitoneal approach for reconstruction of the infrarenal abdominal aorta Gregorio A. Sicard, M.D., Michael.

Unusual venous thrombosis associated with protein C deficiency

Alternative techniques for management of distal anastomoses of aortofemoral and iliofemoral endovascular grafts Reese A. Wain, MD, Ross T. Lyon, MD,

Bypass graft to the contralateral internal jugular vein for venous outflow obstruction of a functioning hemodialysis access fistula Jeff L. Myers, MD,

Mesenteric venous thrombosis

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

Spontaneous iliac arteriovenous fistula

Cardiovascular surgery—The rocket and its stars: Presidential address

The fate of the donor artery in extraanatomic revascularization

Research and research funding in vascular surgery

Regarding “Venous ulcers and the superficial venous system”

Surgical treatment of threatened reversed infrainguinal vein grafts

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

A simple technique to protect subcutaneous vein grafts

Excimer laser—assisted femoral angioplasty: Early results

Extended use of computed tomography in the management of complex aortic problems: A learning experience Larry R. Williams, M.D. *, William R. Flinn,

Stanley Ziomek, M. D. , William J. Quiñones-Baldrich, M. D. , Ronald W

Michael C. Coburn, MD, Wilfred I. Carney, MD

Thomas N. Ahlborn, M.D., John D. Birkhoff, M.D., Roman Nowygrod, M.D.

Reconstruction of the ligated external carotid artery for embolization of cervicofacial arteriovenous malformations Thomas S. Riles, MD, Alejandro Berenstein,

Omental protection of autogenous arterial reconstruction following femoral prosthetic graft infection Donna Mendes, M.D., Mark Kahn, M.D., Ibrahim M.

Popliteal artery entrapment: Diagnosis by computed tomography

Exposure of femoral vessels by a suprainguinal incision

Monitoring vascular surgical performance

Recognition and treatment of arterial insufficiency from Cafergot

James A. DeWeese, MD Journal of Vascular Surgery

Surgical correction of abdominal aortic coarctation and hypertension

Renal revascularization for recurrent pulmonary edema in patients with poorly controlled hypertension and renal insufficiency: A distinct subgroup of.

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

Proximal vein thrombosis secondary to hemodialysis catheterization complicated by arteriovenous fistula Joseph J. Piotrowski, M.D., Robert B. Rutherford,

Percutaneous closure of adjunctive arteriovenous fistulas after surgical reconstruction of iliac veins Jennifer Fahrni, MD, Peter Gloviczki, MD Journal.

Lessons learned in adopting the in situ saphenous vein bypass

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

Presentation transcript:

Surgical treatment of venous obstruction and insufficiency John J. Bergan, M.D., James S.T. Yao, M.D., Ph.D., William R. Flinn, M.D., Walter J. McCarthy, M.D. Journal of Vascular Surgery Volume 3, Issue 1, Pages 174-181 (January 1986) DOI: 10.1016/0741-5214(86)90096-0 Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 The ingenuity of the Palma operation of crosspubic bypass is shown in this diagram, which indicates a single venovenous anastomosis and bypass of the obstructed iliac vein by autogenous tissue. Sites of removal of normal contralateral saphenous vein are indicated, as is placement of incisions for reconstruction. Journal of Vascular Surgery 1986 3, 174-181DOI: (10.1016/0741-5214(86)90096-0) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 This diagram indicates bilateral common femoral vein exposures through linear incisions and vena cava exposure achieved by mobilizing right colon, duodenum, and pancreas. Journal of Vascular Surgery 1986 3, 174-181DOI: (10.1016/0741-5214(86)90096-0) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Externally reinforced polytetrafluoroethylene graft is fashioned to create bifurcation, which will be placed advantageously in retroperitoneum. Journal of Vascular Surgery 1986 3, 174-181DOI: (10.1016/0741-5214(86)90096-0) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Externally reinforced graft is tunneled through appropriate avenues of access so that end-to-side anastomoses can be made from graft to femoral vein and from graft to suprarenal vena cava. Journal of Vascular Surgery 1986 3, 174-181DOI: (10.1016/0741-5214(86)90096-0) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 These diagrams show the mobilization of venous tributary to the common femoral vein that lies posterior to the superficial femoral artery. It is anastomosed end-to-side to superficial femoral artery and tagged with monofilament nonabsorbable suture, which is looped around vein and placed in subcutaneous tissue for easy access at later date. If closure of arteriovenous fistula is desirable later, this can be done simply with the patient under local anesthesia by isolating the monofilament suture and trying it down. Journal of Vascular Surgery 1986 3, 174-181DOI: (10.1016/0741-5214(86)90096-0) Copyright © 1986 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions