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Published byἸωακείμ Λιάπης Modified over 5 years ago
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A modified method for management of prosthetic graft infections involving an anastomosis to the common femoral artery Keith D. Calligaro, MD *, Frank J. Veith, MD, Sushil K. Gupta, MD, Enrico Ascer, MD, Alan M. Dietzek, MD, Charles D. Franco, MD, Kurt R. Wengerter, MD Journal of Vascular Surgery Volume 11, Issue 4, Pages (April 1990) DOI: / (90)90291-H Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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Fig. 1 Schematic of an infected prosthetic groin graft with a disrupted anastomosis after complete wound excision and debridement, total excision of the graft, and arterial oversewing of the proximal and distal common femoral artery. The threatened limb is revascularized with PTFE graft with the infrarenal aorta (approached retroperitoneally) as an inflow source. The new graft is tunneled medial to the anterior superior iliac spine under the inguinal ligament through the psoas canal and lateral to the infected groin. The bypass continues across the anterolateral thigh in a subcutaneous plane to the distal superficial or deep femoral arteries approached lateral to the sartorius muscle, or to the popliteal artery approached laterally. Journal of Vascular Surgery , DOI: ( / (90)90291-H) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions
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