Video-assisted crossover iliofemoral obturator bypass grafting: a minimally invasive approach to extra-anatomic lower limb revascularization.
Graft infection continues to be one of the most feared complications in vascular surgery. It can lead to disruption of anastomoses with life-threatening bleeding, thrombosis of the bypass graft, and systemic septic manifestations. One method to ensure adequate limb perfusion after removal of an infected aortofemoral graft is extra-anatomical bypass grafting. We used a minimally invasive, video-assisted approach to implant a crossover iliofemoral obturator bypass graft in a patient with infection of the left limb of an aortofemoral bifurcated graft. This appears to be the first case report describing the use of this technique.
Geier
B
B
Department of Surgery and Vascular Surgery, Ruhr-University Bochum, St Josef Hospital, Gudrunstr 56 44791 Bochum, Germany.
Barbera
L
L
Kemen
M
M
Mumme
A
A
D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000601:surgery*; D000785:Aneurysm, Infected / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications / Q000601:surgery*; D014656:Vascular Surgical Procedures; D014741:Video Recording