Endovascular aortoiliac reconstruction to allow excision of an infected axillobifemoral bypass.
Axillofemoral graft reconstructions were initially intended to restore lower extremity perfusion in high-risk patients with symptomatic aortoiliac atherosclerotic occlusive disease. However, these reconstructions are now relegated to "bailout" procedures for infected grafts or high-risk critical limb ischemia patients that fail endovascular therapy. Infection of an extra-anatomic bypass graft is a challenging complication as it occurs in poor operative candidates with limited revascularization options and failure has a high rate of amputation and mortality. Described is a novel approach using endovascular reconstruction to treat symptomatic Trans-Atlantic Inter-Society Consensus-II type D aortoiliac lesions allowing for complete excision of an infected axillobifemoral bypass.
Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX. Electronic address: heafnert@gmail.com.
Thomas A
TA
Heafner
Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
Michael
M
Clemens
Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
Daniel
D
Scott
Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
Yiming
Y
Ching
Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
Sean
S
Hislop
Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
Zachary M
ZM
Arthurs
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects; D000792:Angiography; D018441:Biofilms; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D003646:Debridement; D057510:Endovascular Procedures; D005263:Femoral Artery / Q000601:surgery; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery*; D008297:Male; D011138:Polytetrafluoroethylene; D013529:Surgical Wound Dehiscence / Q000175:diagnosis / Q000601:surgery*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000601:surgery*; D017131:Thrombectomy
D011138:Polytetrafluoroethylene