A new technique for intra-abdominal arteries revascularization via extra-anatomic bypass from the brachiocephalic artery with a videoscopic retrosternal tunnel.
Extra-anatomic revascularizations of intra-abdominal or lower limbs arteries, or both, are indicated (1) when the aorta is unsuitable for anatomic bypasses, (2) in patients unfit for aortic surgery, (3) for graft infections, and (4) for visceral debranching during hybrid treatment of a thoracoabdominal aneurysm. We describe a new extra-anatomic bypass from the brachiocephalic artery with video-guided retrosternal tunneling. We discuss the advantages and drawbacks of this technique.
Department of Vascular Surgery, Ambroise Paé University Hospital, AP-HP, Boulogne-Billancourt, France; Simone Veil Health Sciences Faculty, University of Versailles Saint-Quentin en Yvelines, Montigny-le-Bretonneux, France. Electronic address: ijaverliat@yahoo.fr.
Isabelle
I
Javerliat
Department of Vascular Surgery, Ambroise Paé University Hospital, AP-HP, Boulogne-Billancourt, France; Simone Veil Health Sciences Faculty, University of Versailles Saint-Quentin en Yvelines, Montigny-le-Bretonneux, France.
Audrey
A
Pichon
Department of Vascular Surgery, Ambroise Paé University Hospital, AP-HP, Boulogne-Billancourt, France; Simone Veil Health Sciences Faculty, University of Versailles Saint-Quentin en Yvelines, Montigny-le-Bretonneux, France.
Matthieu
M
Glorion
Department of Vascular Surgery, Ambroise Paé University Hospital, AP-HP, Boulogne-Billancourt, France; Simone Veil Health Sciences Faculty, University of Versailles Saint-Quentin en Yvelines, Montigny-le-Bretonneux, France.
Raphaël
R
Coscas
Department of Vascular Surgery, Ambroise Paé University Hospital, AP-HP, Boulogne-Billancourt, France; Simone Veil Health Sciences Faculty, University of Versailles Saint-Quentin en Yvelines, Montigny-le-Bretonneux, France.
Olivier
O
Goëau-Brissonnière
Department of Vascular Surgery, Ambroise Paé University Hospital, AP-HP, Boulogne-Billancourt, France; Simone Veil Health Sciences Faculty, University of Versailles Saint-Quentin en Yvelines, Montigny-le-Bretonneux, France.
Marc
M
Coggia
D000005:Abdomen / Q000098:blood supply*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D016122:Brachiocephalic Trunk / Q000601:surgery*; D019723:Endoscopes; D004724:Endoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply*; D011474:Prosthesis Design; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*