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Composite sequential bypass using profunda vein hitchhike

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1 Composite sequential bypass using profunda vein hitchhike
Radhakrishnan Raju, MCh, Kapil Mathur, MCh, Makkathai Kanakasabai Ayyappan, MCh, FRCS, Jayanth Vijayakumar, MCh, Vishnukumar Venkatesan, MS, MRCS, Bhaskar Venkatachalapathy, MS  Journal of Vascular Surgery  Volume 64, Issue 2, Pages (August 2016) DOI: /j.jvs Copyright © 2016 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Computed tomography (CT) angiogram of patient 3 showing external iliac occlusion with no reformation in groin. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Intraoperative photograph showing fleshy fibrotic material in profunda femoris artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Graft anastomosed to profunda vein and vein graft onto polytetrafluoroethylene graft. Silk tie on the profunda vein proximal to anastomosis. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Two-year follow-up angiogram of patient 3 showing functioning graft from right common femoral artery to left anterior tibial artery with left profunda vein as hitchhike with venous collaterals in thigh. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

6 Fig 5 Six-month follow-up computed tomography (CT) angiogram of patient 5 showing patent graft from infrarenal aorta to right peroneal and left anterior tibial arteries with profunda veins on each side as hitchhike points. The angiogram also shows venous collaterals with early filling of the inferior vena cava. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2016 Society for Vascular Surgery Terms and Conditions

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