Hybrid revascularization using Silverhawk atherectomy and infrapopliteal bypass for limb salvage.
Patients with limb-threatening ischemia and a paucity of ipsilateral greater saphenous vein for conduit represent a challenge for lower extremity revascularization. We present four patients with limited autogenous conduit who underwent hybrid revascularization using the Silverhawk atherectomy device and infrapopliteal artery bypass for limb-threatening ischemia. All patients experienced complete wound healing in early follow-up. Hybrid revascularization appears safe, produces excellent short-term outcomes, and may be appropriate for patients with limited autogenous vein who require lower extremity revascularization.
Slovut
David P
DP
Department of Vascular Medicine, St. Mary's/Duluth Clinic, Duluth, MN, USA. david.slovut@mssm.edu
Demaioribus
Christopher A
CA
D000368:Aged; D000369:Aged, 80 and over; D015901:Angiography, Digital Subtraction; D017073:Atherectomy / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D023821:Limb Salvage; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014680:Veins / Q000637:transplantation*; D014945:Wound Healing