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Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump  Peter H. Lin, MD, a, Ruth L. Bush, MD,

Published byLiliana Allyson Holt Modified over 5 years ago

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Presentation on theme: "Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump  Peter H. Lin, MD, a, Ruth L. Bush, MD,"— Presentation transcript:

1 Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump  Peter H. Lin, MD, a, Ruth L. Bush, MD, b, Brian S. Conklin, MS, b, Elliot L. Chaikof, MD, PhD, b, Alan B. Lumsden, MD, a  Journal of Vascular Surgery  Volume 35, Issue 3, Pages (March 2002) DOI: /mva Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 With ultrasound scanning guidance, a 7F introducer sheath was inserted in an antegrade fashion in the superficial femoral artery just below the IABP catheter site. The contralateral common femoral artery was accessed percutaneously, and then a 9F introducer sheath was inserted in a retrograde fashion. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 The dilators of both introducer sheaths were trimmed to a 2-cm segment. An 8-mm PTFE graft was connected to the end of each dilator and secured with 2-0 silk ligatures. The dilators were inserted to their respective introducer sheaths. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 The insertion of the dilator into the introducer sheath kept the one-way valve open, which established a femorofemoral bypass graft from the contralateral common femoral artery to the ipsilateral ischemic SFA. A heparinized saline solution was infused via the side port of the contralateral introducer sheath to maintain a prothrombin time 1.5 times the baseline level. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2002 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

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