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

Slides:

Advertisements

Similar presentations

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

Advertisements

Acute mesenteric ischemia after cardiopulmonary bypass

Popliteal artery stenosis caused by a Baker's cyst

Aortic injury occurring after minor trauma in ankylosing spondylitis

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

Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease Ole Martin Pedersen, MD,

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,

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

Gluteopopliteal bypass for a compromised groin

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

James W. Dennis, MD, Eric R. Frykberg, MD, FACS, John M

Posterior approach to the deep femoral artery

Low-dose direct fibrinolysis in peripheral vascular disease

Neuropathy after cardiac catheterization: Incidence, clinical patterns, and long-term outcome K.Craig Kent, MD, Mauro Moscucci, MD, Susan G. Gallagher,

Neuropathy after cardiac catheterization: Incidence, clinical patterns, and long-term outcome K.Craig Kent, MD, Mauro Moscucci, MD, Susan G. Gallagher,

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

Descending thoracic aorta to iliofemoral artery bypass grafting: A role for primary revascularization for aortoiliac occlusive disease? Marc A. Passman,

A new valvulotome for in situ bypass grafts

Aortic injury occurring after minor trauma in ankylosing spondylitis

Femoral pseudoaneurysm from drugs of abuse: Ligation or reconstruction? Frank Padberg, MD, Robert Hobson, MD, Bing Lee, MD, Robert Anderson, MD, Joseph.

Development of femoro-femoral and axillo-femoral bypass procedures

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

Malcolm O. Perry, MD, Richard Kempczinski, MD

Use of magnetic resonance angiography for the preoperative evaluation of patients with infrainguinal arterial occlusive disease John R. Hoch, MD, Michael.

Anaphylactoid reactions to protamine: An often lethal complication in insulin-dependent diabetic patients undergoing vascular surgery Sushil K. Gupta,

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

Lateral approach to the popliteal artery

Sartorius muscle “twist” rotation flap: An answer to flap necrosis

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

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

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,

Richard J. Fowl, MD, Kevin D. Martin, MD, Harry C. Sax, MD, Richard F

Supraceliac aortomesenteric bypass for intestinal ischemia

Presidential address: Vascular surgery—The third generation

Objective tinnitus resulting from internal carotid artery stenosis

Richard E. Parsons, MD, Michael L. Marin, MD, Frank J

S.Amjad Hussain, MD, FRCSC, Ahmet Bayar, MD

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

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

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

William C. Pevec, MD, Douglas Hendricks, MD, Marc S

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

Recreational weight lifting and aortic dissection: Case report

Calvin B. Ernst, MD Journal of Vascular Surgery

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

Low-dose direct fibrinolysis in peripheral vascular disease

Aortoiliac surgery in renal transplant patients

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

The fate of the donor artery in extraanatomic revascularization

Composite sequential bypasses to the ankle and beyond for limb salvage

Dipankar Mukherjee, M. D. , William J. Schickler, M. D

Surgical treatment of threatened reversed infrainguinal vein grafts

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

Carotid biaxillary bypass: A new operation

The effects of endothelial injury on smooth muscle cell proliferation

Exposure of femoral vessels by a suprainguinal incision

Aortoesophageal fistula: Case report and literature review

Prosthetic patch remnants to treat infected arterial grafts

Superficial temporal artery aneurysms

James A. DeWeese, MD Journal of Vascular Surgery

Samuel S. Ahn, MD, Robert B. Rutherford, MD, K

Robert R.M. Gifford, M.D. Journal of Vascular Surgery

Thigh claudication due to profunda femoris artery occlusion

Lessons learned in adopting the in situ saphenous vein bypass

Endovascular repair of two abdominal aortic aneurysms

Optimal proximal anastomosis/tunnel for axillofemoral grafts

Presentation transcript:

A modified method for management of prosthetic graft infections involving an anastomosis to the common femoral artery Keith D. Calligaro, MD *, Frank J. Veith, MD, Sushil K. Gupta, MD, Enrico Ascer, MD, Alan M. Dietzek, MD, Charles D. Franco, MD, Kurt R. Wengerter, MD Journal of Vascular Surgery Volume 11, Issue 4, Pages 485-492 (April 1990) DOI: 10.1016/0741-5214(90)90291-H Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Schematic of an infected prosthetic groin graft with a disrupted anastomosis after complete wound excision and debridement, total excision of the graft, and arterial oversewing of the proximal and distal common femoral artery. The threatened limb is revascularized with PTFE graft with the infrarenal aorta (approached retroperitoneally) as an inflow source. The new graft is tunneled medial to the anterior superior iliac spine under the inguinal ligament through the psoas canal and lateral to the infected groin. The bypass continues across the anterolateral thigh in a subcutaneous plane to the distal superficial or deep femoral arteries approached lateral to the sartorius muscle, or to the popliteal artery approached laterally. Journal of Vascular Surgery 1990 11, 485-492DOI: (10.1016/0741-5214(90)90291-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions