Saphenous vein in situ bypass.
Revascularization of the ischemic diabetic extremity presents a significant diagnostic and technical challenge. The in situ saphenous bypass provides a conduit that allows revascularization to arteries at the ankle and proximal foot. Evaluation of the distal circulation, the adequacy of the saphenous vein, and routine follow-up after bypass, along with the operative procedure, are described. Balloon inflow occlusion arteriography, duplex mapping of the saphenous vein, operative technique, and follow-up protocol are discussed.
Knighton
D R
DR
Department of Surgery, University of Minnesota, Minneapolis.
Santilli
S
S
Hunter
D
D
D000842:Ankle / Q000098:blood supply*; D002985:Clinical Protocols; D003925:Diabetic Angiopathies / Q000601:surgery*; D005528:Foot / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D012501:Saphenous Vein / Q000601:surgery*; D014463:Ultrasonography