Document Detail

Bypass surgery for lower extremity limb salvage: vein bypass.
MedLine Citation:
PMID:  23342187     Owner:  NLM     Status:  MEDLINE    
Bypass surgery for limb salvage in cases of chronic limb ischemia is a well-established treatment modality. Use of an autogenous vein provides the best conduit for infrainguinal arterial bypass procedures, particularly for bypass to the infrapopliteal arteries. In this article, we discuss infrainguinal vein bypass surgery including indications, perioperative care, and long-term follow up. We also discuss the outcomes of the procedure with regard to patient survival and limb salvage. The autogenous vein continues to be the best available conduit with the highest patency rate and the best treatment option. Compared to all other revascularization options for infrainguinal disease, the vein bypass has the best limb salvage and long-term survival in patients appropriately selected for the procedure.
Hosam F El-Sayed
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Methodist DeBakey cardiovascular journal     Volume:  8     ISSN:  1947-6108     ISO Abbreviation:  Methodist Debakey Cardiovasc J     Publication Date:    2012 Oct-Dec
Date Detail:
Created Date:  2013-01-23     Completed Date:  2013-07-02     Revised Date:  2013-07-11    
Medline Journal Info:
Nlm Unique ID:  101508600     Medline TA:  Methodist Debakey Cardiovasc J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  37-42     Citation Subset:  IM    
Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, USA.
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MeSH Terms
Blood Vessel Prosthesis Implantation
Ischemia / surgery*
Limb Salvage / methods*
Lower Extremity / blood supply*
Treatment Outcome
Vascular Surgical Procedures / methods*
Veins / transplantation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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