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Long-Term Result of Tibioperoneal Trunk Bypass with an Autogenous Graft Using the Varicose Great Saphenous Vein for Acute Limb Ischemia

Vascular Specialist International 2020년 36권 3호 p.170 ~ 173
김형기, 황덕비, 허승,
소속 상세정보
김형기 ( Kim Hyung-Kee ) - Kyungpook National University Hospital Department of Surgery
황덕비 ( Hwang Deok-Bi ) - Kyungpook National University Hospital Department of Surgery
허승 ( Huh Seung ) - Kyungpook National University Hospital Department of Surgery

Abstract


For the management of acute limb ischemia (ALI) and multilevel arterial occlusive disease, tibial bypass using the saphenous vein has been considered a mainstay due to the long-term durability in selected patients with acceptable saphenous veins and comorbid conditions. Traditionally, bypass using a varicose autogenous graft has been contraindicated due to the risk of late aneurysmal dilation and rupture. Here, we describe a patient who presented with ALI and received tibioperoneal trunk bypass using a varicose autogenous graft. The patient has been doing well during the 72-month follow-up without recurrent symptoms or revision. The follow-up images showed a favorably patent graft with mild aneurysmal changes at the valve cusp adjacent to the knee. If there are no other appropriate autologous veins for revascularization, a varicose autogenous vein graft may be a useful option for limb salvaging in selected patients with multilevel arterial occlusive diseases.

키워드

Peripheral arterial disease; Operative therapy; Varicose veins; Ischemia

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