Document Detail

Continuous crossover femoropopliteal bypass in a 68-year-old gentleman with rest pain.
MedLine Citation:
PMID:  15997225     Owner:  NLM     Status:  MEDLINE    
Patients who have had multiple previous attempts at limb salvaging surgery frequently go on to have an amputation. This, however, results both in psychological perturbation for the patient and high rehabilitation costs for the community. Successful limb salvage surgery therefore has an important role in vascular surgery. We describe the management of a patient with critical limb ischemia that had previously undergone multiple limb salvage procedures and whose limb was saved by the use of a continuous femoropopliteal crossover bypass graft. The patient, who may have been deemed by some as a candidate for amputation, has full use of his limb 6 months after surgery with ankle brachial pressure index readings of 0.6. Continuous femoropopliteal crossover bypass grafting is a poorly described surgical technique that may be appropriate in a subgroup of patients and may allow salvage of a limb that otherwise may have been deemed fit for amputation.
F M Smith; N O'Brien; H P Redmond; N E Bourantas
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International angiology : a journal of the International Union of Angiology     Volume:  24     ISSN:  0392-9590     ISO Abbreviation:  Int Angiol     Publication Date:  2005 Jun 
Date Detail:
Created Date:  2005-07-05     Completed Date:  2006-11-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8402693     Medline TA:  Int Angiol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  199-201     Citation Subset:  IM    
Academic Vascular Unit, Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland.
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MeSH Terms
Arterial Occlusive Diseases / surgery*
Femoral Artery / surgery*
Ischemia / surgery*
Leg / blood supply*
Popliteal Artery / surgery*
Vascular Surgical Procedures / methods

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