Distal vein patch with an arteriovenous fistula: A viable option for the patient without autogenous conduit and severe distal occlusive disease Richard.

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Presentation transcript:

Distal vein patch with an arteriovenous fistula: A viable option for the patient without autogenous conduit and severe distal occlusive disease Richard F. Neville, MD, Benzon Dy, BS, Niten Singh, MD, Kent J. DeZee, MD, MPH Journal of Vascular Surgery Volume 50, Issue 1, Pages 83-88 (July 2009) DOI: 10.1016/j.jvs.2008.12.052 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 A, Arteriogram shows an isolated peroneal segment as the only option for distal revascularization. B, Arteriogram from another patient shows an isolated posterior tibial segment. Journal of Vascular Surgery 2009 50, 83-88DOI: (10.1016/j.jvs.2008.12.052) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 Schematic drawing shows distal arteriovenous fistula construction. A, Vascular control of paired tibial artery (A) and vein (V). B, Common ostium fistula with suture line joining the central walls of the two vessels. Journal of Vascular Surgery 2009 50, 83-88DOI: (10.1016/j.jvs.2008.12.052) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 Schematic drawing shows the distal vein patch (DVP) over the common ostium arteriovenous fistula. Journal of Vascular Surgery 2009 50, 83-88DOI: (10.1016/j.jvs.2008.12.052) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 4 Schematic drawing of the polytetrafluoroethylene (PTFE) bypass with a distal vein patch and arteriovenous fistula at completion. A, Artery; V, vein. Journal of Vascular Surgery 2009 50, 83-88DOI: (10.1016/j.jvs.2008.12.052) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 5 Primary patency for distal vein patch bypass with arteriovenous fistula. Journal of Vascular Surgery 2009 50, 83-88DOI: (10.1016/j.jvs.2008.12.052) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 6 Limb salvage for patients with bypass using distal vein patch with arteriovenous fistula. Journal of Vascular Surgery 2009 50, 83-88DOI: (10.1016/j.jvs.2008.12.052) Copyright © 2009 Society for Vascular Surgery Terms and Conditions