Femoropopliteal là gì
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Most complications that appear within 5–6 weeks after femoropopliteal bypass (FPB) are associated with the surgical procedure in the groin. Destruction of lymphatic structures in the presence of an open foot infection and crushing of the intima by clamping the common and deep femoral arteries are significant predisposing factors in producing early infection or occlusion of the graft. To avoid these predisposing factors, a combined procedure of a short thromboendarterectomy of the proximal superficial femoral artery and an autogenous or prosthetic bypass graft was used, without application of clamps to the common and deep femoral arteris. In a series of 45 patients, this combined procedure was used and a significant reduction of complications was achieved. Indications, technique, and advantages of this combined method are discussed. Show RésuméLa majorité des complications qui surviennent au cours des 5–6 semaines qui suivent un bypass fémoro-poplité résultent de la dissection au niveau de l'aine. La destruction des lymphatiques en cas d'infection du pied et l'écrasement de l'intima par clampage des artères fémorales commune et profonde sont d'importants facteurs qui prédisposent à l'infection précoce et à l'occlusion du greffon. Pour éviter ces traumatismes, nous utilisons une thromboendartériectomie courte de la fémorale superficielle proximale, associée à un bypass par prothèse ou veine, sans clampage des artères fémorales commune ni profonde. Cette intervention a été utilisée dans 45 cas: la fréquence des complications a été nettement réduite. Les indications, la technique et les avantages de la méthode sont discutés. This is a preview of subscription content, access via your institution. Access optionsBuy single articleInstant access to the full article PDF. 39,95 € Price includes VAT (Australia) Rent this article via DeepDyve. Learn more about Institutional subscriptions Beebe, H.G.: Complications in Vascular Surgery. Philadelphia, Lippincott Company, 1973, pp. 69–94 Google Scholar Jackson, B.B.: Surgery of Acquired Vascular Disorders. Springfield, Illinois, Charles C. Thomas Publishers, 1969, pp. 94–155 Google Scholar Collins, G.I., Rich, N.M., Andersen, C.A.: Limbs salvage procedures for lower extremity ischemia. Am. J. Surg.132:707, 1976 Article PubMed Google Scholar Willwerth, B.M., Waldhausen, J.A.: Infection of arterial prosthesis. Surg. Gynecol. Obstet.139:446, 1974 CAS PubMed Google Scholar Bonhoutsos, J., Chavatzas, D., Martin, P.: Infected synthetic arterial graft. Br. J. Surg.61:108, 1974 Google Scholar Downs, A.R.: Aorto-iliac occlusive disease (complication of aorto-femoral grafts). Surg. Clin. North Am.54:195, 1974 CAS PubMed Google Scholar Leather, R.P., Karmody, A.M.: A lateral route for extra-anatomical bypass of the femoral artery. Surgery81:307, 1977 CAS PubMed Google Scholar Liekweg, W.G., Greenfield, L.J.: Vascular prosthetic infections; collected experience and results of treatment. Surgery81:335, 1977 PubMed Google Scholar Moore, W.S., Rosson, C.T., Hall, D.T., Thomas, A.N.: Transient bacteremia, a cause of infection in prosthetic vascular grafts. Am. J. Surg.117:343, 1969 Article Google Scholar Fry, W.J.: Vascular prosthesis infection. Surg. Clin. North Am.52:1419, 1972 CAS PubMed Google Scholar Download references Author informationAuthors and Affiliations
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Rights and permissionsReprints and Permissions About this articleCite this articleStavorovsky, M., Iellin, A. Thromboendarterectomy combined with femoropopliteal bypass. World J. Surg. 4, 245–247 (1980). https://doi.org/10.1007/BF02393590 |
