Use and durability of femoral vein for autologous reconstruction with infection of the aortoiliofemoral axis Bernhard Dorweiler, MD, PhD, Achim Neufang,

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Use and durability of femoral vein for autologous reconstruction with infection of the aortoiliofemoral axis Bernhard Dorweiler, MD, PhD, Achim Neufang, MD, PhD, Rayan Chaban, MD, Jan Reinstadler, MD, Friedrich Duenschede, MD, PhD, Christian-Friedrich Vahl, MD, PhD Journal of Vascular Surgery Volume 59, Issue 3, Pages 675-683 (March 2014) DOI: 10.1016/j.jvs.2013.09.029 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Neoaortoiliac system type A. Preoperative computed tomography (CT) scan of a 67-year-old patient with graft infection 80 months after implantation of an aortobifemoral Dacron graft with perigraft fluid (A) and right groin abscess/fistulation (C). Complementary fluorodeoxyglucose-positron emission tomography shows corresponding enhancements (red arrows, B and D). Following complete graft removal, reconstruction by right aortofemoral bypass combined with femorofemoral crossover bypass (both femoral vein [FV]) was performed (E, three-dimensional reconstruction of postoperative CT scan). At 69 months of follow-up, neoaortoiliac system is patent with slight elongation of the femorofemoral graft (F, three-dimensional reconstruction). Journal of Vascular Surgery 2014 59, 675-683DOI: (10.1016/j.jvs.2013.09.029) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Neoaortoiliac system type B. Preoperative computed tomography (CT) scan of a 68-year-old patient with contained rupture of an infected abdominal aortic aneurysm (A-C). Postoperative magnetic resonance angiography after implantation of a neoaortoiliac system using two femoral vein (FV) grafts conjoined at the infrarenal aorta (D, three-dimensional reconstruction). At 38 months of follow-up, both grafts are patent (E, three-dimensional reconstruction). Journal of Vascular Surgery 2014 59, 675-683DOI: (10.1016/j.jvs.2013.09.029) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 Kaplan-Meier analysis for survival. SEM, Standard error of the mean. Journal of Vascular Surgery 2014 59, 675-683DOI: (10.1016/j.jvs.2013.09.029) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 Kaplan-Meier analysis for patency (secondary patency). SEM, Standard error of the mean. Journal of Vascular Surgery 2014 59, 675-683DOI: (10.1016/j.jvs.2013.09.029) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 5 Kaplan-Meier analysis for limb salvage. SEM, Standard error of the mean. Journal of Vascular Surgery 2014 59, 675-683DOI: (10.1016/j.jvs.2013.09.029) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 6 Kaplan-Meier analysis for freedom from reintervention. SEM, Standard error of the mean. Journal of Vascular Surgery 2014 59, 675-683DOI: (10.1016/j.jvs.2013.09.029) Copyright © 2014 Society for Vascular Surgery Terms and Conditions