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

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Presentation transcript:

Eleven-year experience with tibiotibial bypass: An unusual but effective solution to distal tibial artery occlusive disease and limited autologous vein Ross T. Lyon, MD, Frank J. Veith, MD, Ben U. Marsan, MD, Kurt R. Wengerter, MD, Thomas F. Panetta, MD, Michael L. Marin, MD, Jamie Goldsmith, RN, Steven P. Rivers, MD, William Suggs, MD Journal of Vascular Surgery Volume 20, Issue 1, Pages 61-69 (July 1994) DOI: 10.1016/0741-5214(94)90176-7 Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Intraoperative arteriogram of proximal to distal anterior tibial artery bypass in patient with partial forefoot necrosis and absent pedal arterial arch. This bypass has remained patent for more than 4 years. Journal of Vascular Surgery 1994 20, 61-69DOI: (10.1016/0741-5214(94)90176-7) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Posterior tibial to lateral plantar artery bypass in patient requiring partial foot amputation. Duration of patency now greater than 3 years Journal of Vascular Surgery 1994 20, 61-69DOI: (10.1016/0741-5214(94)90176-7) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Follow-up arteriogram of proximal to distal anterior tibial artery bypass done 1 1/2 years after operation. This bypass has remained open despite development of outflow stenosis and absence of intact pedal arch. Journal of Vascular Surgery 1994 20, 61-69DOI: (10.1016/0741-5214(94)90176-7) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Diagrammatic representation of all tibiotibial bypasses and anastomotic sites. Journal of Vascular Surgery 1994 20, 61-69DOI: (10.1016/0741-5214(94)90176-7) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Diagrammatic representation of primary bypass patency results. Journal of Vascular Surgery 1994 20, 61-69DOI: (10.1016/0741-5214(94)90176-7) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions