Venous Interposition Graft in the Management of Bleeding from Distal Anastomosis of Pedal Bypass


Authors: M. Šlais ;  P. Štádler
Authors‘ workplace: Oddělení cévní chirurgie, Nemocnice Na Homolce, prim. doc. MUDr. Petr Štádler, Ph. D.
Published in: Rozhl. Chir., 2011, roč. 90, č. 1, s. 52-54.
Category: Monothematic special - Original

Overview

The authors present a rare complication of limb revascularization using pedal bypass, disruption of the surgical wound resulting from infectious etiology with bleeding from the distal anastomosis. The wound disruption was successfully managed by venous interposition grafting. The bypass patency, as well as full functioning of the extremity, were preserved.

Key words:
pedal bypass –surgical wound disruption – Y-graft bypass


Sources

1. Šlais, M., Mitáš, P., Hrubý, J., Semrád, M., Štádler, P. Vícenásobná sekvenční revaskularizace infrapopliteálních tepen při záchraně kriticky ischemické končetiny. Rozhl. Chir., 2010, roč. 89, č. 1, s. 59–63.

2. Staffa, R., Vlachovský, R., Vojtíšek, B. Follow-up and its Importance for Long-term Pedal Bypass Functionality. Acta chir. belg., 2006, 106, 81–85.

3. Robison, J. G., Ross, J. P., Brothers, T. E., Elliott, B. M. Distal wound complications following pedal bypass: analysis of risk factors. Ann. Vasc. Surg., 1995, Jan; 9(1): 53–59.

4. Pomposelli, F. B., Kansai, N., Hamdan, A. D., Belfield, A., Sheahan, M., Campbell, D. R., Skillman, J. J., Logerfo, F. W. A decade of experience with dorsalis pedis artery bypass : Analysis of outcome in more than 1000 cases. J. Vasc. Surg., 2003, 37 : 307–315.

5. Joseph, W. S., Lipsky, B. A. Medical therapy of diabetic foot infections. J. Vasc. Surg., 2010 Sep; 52 (3 Suppl): 67S–71S

6. Staffa, R. Záchrana kriticky ischemické končetiny – pedální bypass. 1. vyd. Praha: Grada Publishing, 2005, 112 s. 

Labels
Surgery Orthopaedics Trauma surgery

Article was published in

Perspectives in Surgery

Issue 1

2011 Issue 1

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