Using the diamond intermediate anastomosis in composite sequential bypass grafting for critical limb ischemia Ailín C. Rogers, PhD, Paul W. Reddy, MBBCh.

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Using the diamond intermediate anastomosis in composite sequential bypass grafting for critical limb ischemia Ailín C. Rogers, PhD, Paul W. Reddy, MBBCh BAO, K. Simon Cross, FRCSI, Morgan P. McMonagle, MD, FRCSI Journal of Vascular Surgery Volume 63, Issue 4, Pages 1116-1120 (April 2016) DOI: 10.1016/j.jvs.2015.12.019 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 End-to-side proximal anastomosis with a synthetic expanded polytetrafluoroethylene (ePTFE) graft to the common femoral artery (CFA). Journal of Vascular Surgery 2016 63, 1116-1120DOI: (10.1016/j.jvs.2015.12.019) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Drawing shows the diamond anastomosis, with an expanded polytetrafluoroethylene (ePTFE) graft proximally and an autologous vein graft anastomosed to the proximal and distal portions of the popliteal arteriotomy, respectively. Journal of Vascular Surgery 2016 63, 1116-1120DOI: (10.1016/j.jvs.2015.12.019) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 A, The diamond anastomosis involving the above-knee (AK) popliteal artery as a landing zone. B, Close up view of the diamond anastomosis. Journal of Vascular Surgery 2016 63, 1116-1120DOI: (10.1016/j.jvs.2015.12.019) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Distal end-to-side anastomosis of the vein graft to the peroneal artery. Journal of Vascular Surgery 2016 63, 1116-1120DOI: (10.1016/j.jvs.2015.12.019) Copyright © 2016 Society for Vascular Surgery Terms and Conditions