Composite sequential bypass using profunda vein hitchhike

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Presentation transcript:

Composite sequential bypass using profunda vein hitchhike Radhakrishnan Raju, MCh, Kapil Mathur, MCh, Makkathai Kanakasabai Ayyappan, MCh, FRCS, Jayanth Vijayakumar, MCh, Vishnukumar Venkatesan, MS, MRCS, Bhaskar Venkatachalapathy, MS Journal of Vascular Surgery Volume 64, Issue 2, Pages 526-529 (August 2016) DOI: 10.1016/j.jvs.2016.04.050 Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomography (CT) angiogram of patient 3 showing external iliac occlusion with no reformation in groin. Journal of Vascular Surgery 2016 64, 526-529DOI: (10.1016/j.jvs.2016.04.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative photograph showing fleshy fibrotic material in profunda femoris artery. Journal of Vascular Surgery 2016 64, 526-529DOI: (10.1016/j.jvs.2016.04.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 3 Graft anastomosed to profunda vein and vein graft onto polytetrafluoroethylene graft. Silk tie on the profunda vein proximal to anastomosis. Journal of Vascular Surgery 2016 64, 526-529DOI: (10.1016/j.jvs.2016.04.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 4 Two-year follow-up angiogram of patient 3 showing functioning graft from right common femoral artery to left anterior tibial artery with left profunda vein as hitchhike with venous collaterals in thigh. Journal of Vascular Surgery 2016 64, 526-529DOI: (10.1016/j.jvs.2016.04.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

Fig 5 Six-month follow-up computed tomography (CT) angiogram of patient 5 showing patent graft from infrarenal aorta to right peroneal and left anterior tibial arteries with profunda veins on each side as hitchhike points. The angiogram also shows venous collaterals with early filling of the inferior vena cava. Journal of Vascular Surgery 2016 64, 526-529DOI: (10.1016/j.jvs.2016.04.050) Copyright © 2016 Society for Vascular Surgery Terms and Conditions