[Treatment of the post-thrombotic syndrome: modification of May's femoral by-pass (author's transl)].
During May's femoral by-pass, one should avoid by sapheno-popliteal anastomosis, obstruction of the femoral vein damaged by the post-thrombotic syndrome. After the early work of Kunlin, arterio-venous fistulas are often found in reconstructive venous surgery. By making a transverse end-to-side anastomosis between the main peripheral saphenous vein and the posterior tibial artery behind the internal malleolus, one may obtain a protective effect on the sapheno-popliteal anastomosis, increasing the blood flow towards the main saphenous vein across the perforating veins down to the deep leg veins. The protective effect of the arterio-venous fistula seems to be of interest during inactivity of the muscular pump of the calf (postoperative phase and during rest at night).
D005268:Femoral Vein; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008722:Methods; D012501:Saphenous Vein / Q000601:surgery*; D013924:Thrombophlebitis / Q000601:surgery*
Traitement du syndrome post-thrombotique: une modification du bypass fémoral de May