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Outcomes of complex femorodistal sequential autologous vein and biologic prosthesis composite bypass grafts  Achim Neufang, MD, PhD, Bernhard Dorweiler,

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Presentation on theme: "Outcomes of complex femorodistal sequential autologous vein and biologic prosthesis composite bypass grafts  Achim Neufang, MD, PhD, Bernhard Dorweiler,"— Presentation transcript:

1 Outcomes of complex femorodistal sequential autologous vein and biologic prosthesis composite bypass grafts  Achim Neufang, MD, PhD, Bernhard Dorweiler, MD, PhD, Christine Espinola-Klein, MD, PhD, Savvas Savvidis, MD, Marco Doemland, MD, Sebastian Schotten, MD, Christian Friedrich Vahl, MD, PhD  Journal of Vascular Surgery  Volume 60, Issue 6, Pages (December 2014) DOI: /j.jvs Copyright © 2014 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Configuration types of 122 sequential composite bypasses (SCBs) with a biologic prosthesis and autologous vein: (a) serial anastomoses, (b) bridge technique, (c) jump graft, (d) inverted Y graft with natural bifurcation, and (e) “secondary bridge.” Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Survival of 67 men and 49 women operated on with human umbilical vein (HUV)–vein and Omniflow II–vein sequential composite bypasses (SCBs). SE, Standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Sequential composite bypass (SCB) with human umbilical vein (HUV) and greater saphenous vein (bridge technique with three distal anastomoses: popliteal artery, posterior tibial artery, and dorsalis pedis artery) 158 months postoperatively. Note the aneurysmal degeneration of the distal part of the HUV with implanted self-expandable stent in a stenotic HUV segment (arrows). Patency of all distal anastomoses is unimpaired. (Reproduced with permission of Peter von Flotow, MD, Department of Angiology, Westpfalz Klinikum Kusel, Germany.) Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Primary patency in 90 human umbilical vein (HUV)–vein and 32 Omniflow II–vein sequential composite bypasses (SCBs). SE, Standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Secondary patency in 90 human umbilical vein (HUV)–vein and 32 Omniflow II–vein sequential composite bypasses (SCBs). SE, Standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Limb salvage in 120 limbs operated on with human umbilical vein (HUV)–vein and Omniflow II–vein sequential composite bypasses (SCBs). SE, Standard error. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

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