Trans-iliac Bypass for Critical Limb Ischaemia with Groin Necrosis: A Case Report

INTRODUCTION: Infections at the level of the groin involving native or prosthetic vessels are typically bypassed using the obturator canal. However, extensive wounds or infections, particularly those involving the medial compartment of the thigh, can preclude this approach. REPORT: A 66 year old mal...

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Detalles Bibliográficos
Autores principales: Lounes, Youcef, Ozdemir, Baris A., Alric, Pierre, Canaud, Ludovic
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Short Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6411489/
https://www.ncbi.nlm.nih.gov/pubmed/30931404
http://dx.doi.org/10.1016/j.ejvssr.2019.01.002
Descripción
Sumario:INTRODUCTION: Infections at the level of the groin involving native or prosthetic vessels are typically bypassed using the obturator canal. However, extensive wounds or infections, particularly those involving the medial compartment of the thigh, can preclude this approach. REPORT: A 66 year old male with diabetes mellitus presented after several previous revascularisations of the femoral artery with extensive necrosis of the groin and critical limb ischaemia with necrotic changes in the toes. An iliopopliteal bypass through the iliac wing was planned because of the extent of the infection. DISCUSSION: The post-operative course was uneventful with complete resolution of tissue loss at one year follow up.

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