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Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia  Alan M. Dietzek,

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Presentation on theme: "Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia  Alan M. Dietzek,"— Presentation transcript:

1 Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia  Alan M. Dietzek, MD, Jamie Goldsmith, RN, Frank J. Veith, MD, Luis A. Sanchez, MD, Sushil K. Gupta, MD, Kurt R. Wengerter, MD  Journal of Vascular Surgery  Volume 12, Issue 6, Pages (December 1990) DOI: /mva Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Diagram of arteriographic occlusions in patient 1, and (A) presumed compensatory collateral circulation to the lower extremities before radical cystoprostatectomy with bilateral hypogastric artery ligation (arrows); (B) revascularization with a right external iliac to left common femoral artery PTFE bypass and a reversed saphenous vein graft extension to the left anterior tibial artery. At a subsequent operation, a PTFE extension from the crossover bypass was performed to the right below-knee popliteal artery. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Diagram of arteriographic occlusions in patient 2, and (A) presumed compensatory collateral circulation to the left lower extremity before coronary artery bypass and interruption of the left internal mammary artery (arrow); (B) surgical correction with an infrarenal aorta to bilateral deep femoral artery bypass. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Diagram of arteriographic occlusions in patient 3, and (A) presumed compensatory collateral circulation to both lower extremities before coronary artery bypass and interruption of both internal mammary arteries (arrows); (B) surgical correction with an infrarenal aorta to bilateral external iliac artery bypass. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Diagram of arteriographic occlusions in patient 4, and presumed compensatory collateral circulation to the left above-knee amputation stump before a left hemicolectomy and IMA ligation (arrow). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Parietal collateral circulation to the lower extremities with distal aortic and common iliac artery occlusions. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 6 Visceral collateral circulation to the lower extremities in infrarenal aortic occlusions distal to the IMA (A) and proximal to the IMA (B). Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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