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A minimally invasive approach for aortobifemoral bypass procedure

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Presentation on theme: "A minimally invasive approach for aortobifemoral bypass procedure"— Presentation transcript:

1 A minimally invasive approach for aortobifemoral bypass procedure
Terézia B. Andrási, MD, PhD, Till Humbert, MD, Elke Dorner, MD, Christian F. Vahl, MD  Journal of Vascular Surgery  Volume 53, Issue 3, Pages (March 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Three-dimensional preoperative computed tomographic scan (A, patient one) and magnetic resonance tomographic scan (B, patient two) showing the complex aortoiliacal occlusive disease. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Schematic representation of the incisions. A, Minimal incisions (continuous lines); standard incisions (interrupted lines). B, Clamping of the aorta. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Minimal retroperitoneal incision with exposure of the left renal vein and infrarenal aorta (patient two). B, Infraumbilical incision and placement of a drain sling to facilitate percutaneous placement of the inferior aortic clamp under 30° (patient one). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

5 Fig 4 A, Proximal and distal aortic clamping (patient two). B, Aortotomy and “parachute” anastomotic suture (patient two). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Complete proximal end-to-side bypass anastomosis (patient two). A, Before tunneling. B, After tunneling. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

7 Fig 6 Limited skin incisions: 8-cm supraumbilical median incision, 1-cm infraumbilical incision, and 4-cm transversal infrainguinal groin incisions (patient four). A, Before the operation. B, After the operation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

8 Fig 7 Three-dimensional postoperative computed tomographic scans. A, Intact proximal and distal anastomoses (antero-posterior view, patient one) and (B) antegrade infrainguinal and retrograde suprainguinal perfusions (antero-lateral view, patient two) are demonstrated. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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