Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump Peter H. Lin, MD, a, Ruth L. Bush, MD,

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Presentation transcript:

Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump Peter H. Lin, MD, a, Ruth L. Bush, MD, b, Brian S. Conklin, MS, b, Elliot L. Chaikof, MD, PhD, b, Alan B. Lumsden, MD, a Journal of Vascular Surgery Volume 35, Issue 3, Pages 592-594 (March 2002) DOI: 10.1067/mva.2002.119039 Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 With ultrasound scanning guidance, a 7F introducer sheath was inserted in an antegrade fashion in the superficial femoral artery just below the IABP catheter site. The contralateral common femoral artery was accessed percutaneously, and then a 9F introducer sheath was inserted in a retrograde fashion. Journal of Vascular Surgery 2002 35, 592-594DOI: (10.1067/mva.2002.119039) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 The dilators of both introducer sheaths were trimmed to a 2-cm segment. An 8-mm PTFE graft was connected to the end of each dilator and secured with 2-0 silk ligatures. The dilators were inserted to their respective introducer sheaths. Journal of Vascular Surgery 2002 35, 592-594DOI: (10.1067/mva.2002.119039) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 The insertion of the dilator into the introducer sheath kept the one-way valve open, which established a femorofemoral bypass graft from the contralateral common femoral artery to the ipsilateral ischemic SFA. A heparinized saline solution was infused via the side port of the contralateral introducer sheath to maintain a prothrombin time 1.5 times the baseline level. Journal of Vascular Surgery 2002 35, 592-594DOI: (10.1067/mva.2002.119039) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions