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Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease
Over recent decades, there has been a considerable increase in use of endovascular methods to treat aortoiliac occlusive disease. It has been demonstrated that this approach offers many benefits, primarily for non-complex arterial lesions of the iliac axis, but difficulties persist with achieving ad...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV)
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637000/ https://www.ncbi.nlm.nih.gov/pubmed/31360150 http://dx.doi.org/10.1590/1677-5449.180083 |
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author | Giusti, Júlio César Gomes Fernandes, Janderson Ribeiro Soares, Samara Pontes dos Santos, Karoline Rayana Rossi, Fabio Henrique Beraldo, João Paulo Neves Brochado, Francisco Cardoso |
author_facet | Giusti, Júlio César Gomes Fernandes, Janderson Ribeiro Soares, Samara Pontes dos Santos, Karoline Rayana Rossi, Fabio Henrique Beraldo, João Paulo Neves Brochado, Francisco Cardoso |
author_sort | Giusti, Júlio César Gomes |
collection | PubMed |
description | Over recent decades, there has been a considerable increase in use of endovascular methods to treat aortoiliac occlusive disease. It has been demonstrated that this approach offers many benefits, primarily for non-complex arterial lesions of the iliac axis, but difficulties persist with achieving adequate results over the medium and long term when treating extensive occlusive disease. Arterial bypasses to alternative vicarious arteries of the femoral-genicular complex for limb salvage are well known in the literature describing cases that are not favorable for conventional or endovascular surgery. We describe the case of a patient with extensive aortoiliac occlusive disease treated with an arterial bypass in the iliofemoral territory, using an alternative autologous substitute and the descending lateral femoral artery as recipient artery. Alternative bypasses and substitutes that are normally reserved for exceptional cases can and should be part of the vascular therapeutic arsenal and have a contribution to make in cases in which endovascular surgery does not yet enable us to achieve good results. |
format | Online Article Text |
id | pubmed-6637000 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) |
record_format | MEDLINE/PubMed |
spelling | pubmed-66370002019-07-29 Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease Giusti, Júlio César Gomes Fernandes, Janderson Ribeiro Soares, Samara Pontes dos Santos, Karoline Rayana Rossi, Fabio Henrique Beraldo, João Paulo Neves Brochado, Francisco Cardoso J Vasc Bras Therapeutic Challenge Over recent decades, there has been a considerable increase in use of endovascular methods to treat aortoiliac occlusive disease. It has been demonstrated that this approach offers many benefits, primarily for non-complex arterial lesions of the iliac axis, but difficulties persist with achieving adequate results over the medium and long term when treating extensive occlusive disease. Arterial bypasses to alternative vicarious arteries of the femoral-genicular complex for limb salvage are well known in the literature describing cases that are not favorable for conventional or endovascular surgery. We describe the case of a patient with extensive aortoiliac occlusive disease treated with an arterial bypass in the iliofemoral territory, using an alternative autologous substitute and the descending lateral femoral artery as recipient artery. Alternative bypasses and substitutes that are normally reserved for exceptional cases can and should be part of the vascular therapeutic arsenal and have a contribution to make in cases in which endovascular surgery does not yet enable us to achieve good results. Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2019-06-19 /pmc/articles/PMC6637000/ /pubmed/31360150 http://dx.doi.org/10.1590/1677-5449.180083 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Therapeutic Challenge Giusti, Júlio César Gomes Fernandes, Janderson Ribeiro Soares, Samara Pontes dos Santos, Karoline Rayana Rossi, Fabio Henrique Beraldo, João Paulo Neves Brochado, Francisco Cardoso Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease |
title | Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease |
title_full | Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease |
title_fullStr | Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease |
title_full_unstemmed | Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease |
title_short | Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease |
title_sort | alternative iliofemoral revascularization in extensive aortoiliac occlusive disease |
topic | Therapeutic Challenge |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637000/ https://www.ncbi.nlm.nih.gov/pubmed/31360150 http://dx.doi.org/10.1590/1677-5449.180083 |
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