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Distal Bypass Grafting Using the Basilic–Cephalic Loop Vein for Chronic Limb-Threatening Ischemia under Peripheral Nerve Blockades in a Patient with Severely-Reduced Heart Function and End-Stage Renal Disease

A 51-year-old man with severe comorbidities required redo revascularization due to left chronic limb-threatening ischemia caused by a previous vein graft occlusion. The saphenous veins were not available due to previous surgeries. Femoro-posterior tibial artery bypass surgery was successfully perfor...

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Autores principales: Tada, Yuki, Kikuchi, Shinsuke, Okuda, Hiroko, Kamada, Keisuke, Kuriyama, Naoya, Tochikubo, Ai, Uchida, Daiki, Koya, Atsuhiro, Azuma, Nobuyoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957900/
https://www.ncbi.nlm.nih.gov/pubmed/31942219
http://dx.doi.org/10.3400/avd.cr.19-00091
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author Tada, Yuki
Kikuchi, Shinsuke
Okuda, Hiroko
Kamada, Keisuke
Kuriyama, Naoya
Tochikubo, Ai
Uchida, Daiki
Koya, Atsuhiro
Azuma, Nobuyoshi
author_facet Tada, Yuki
Kikuchi, Shinsuke
Okuda, Hiroko
Kamada, Keisuke
Kuriyama, Naoya
Tochikubo, Ai
Uchida, Daiki
Koya, Atsuhiro
Azuma, Nobuyoshi
author_sort Tada, Yuki
collection PubMed
description A 51-year-old man with severe comorbidities required redo revascularization due to left chronic limb-threatening ischemia caused by a previous vein graft occlusion. The saphenous veins were not available due to previous surgeries. Femoro-posterior tibial artery bypass surgery was successfully performed using the basilic–cephalic loop vein under peripheral nerve blockades. This anesthesia allowed a series of surgical revascularizations without general anesthesia, and the postoperative courses were uneventful. The patient survived for 4 years with ambulatory status. In conclusion, loop graft can be an alternative single vein material for distal bypass when no saphenous veins are available.
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spelling pubmed-69579002020-01-15 Distal Bypass Grafting Using the Basilic–Cephalic Loop Vein for Chronic Limb-Threatening Ischemia under Peripheral Nerve Blockades in a Patient with Severely-Reduced Heart Function and End-Stage Renal Disease Tada, Yuki Kikuchi, Shinsuke Okuda, Hiroko Kamada, Keisuke Kuriyama, Naoya Tochikubo, Ai Uchida, Daiki Koya, Atsuhiro Azuma, Nobuyoshi Ann Vasc Dis Case Report A 51-year-old man with severe comorbidities required redo revascularization due to left chronic limb-threatening ischemia caused by a previous vein graft occlusion. The saphenous veins were not available due to previous surgeries. Femoro-posterior tibial artery bypass surgery was successfully performed using the basilic–cephalic loop vein under peripheral nerve blockades. This anesthesia allowed a series of surgical revascularizations without general anesthesia, and the postoperative courses were uneventful. The patient survived for 4 years with ambulatory status. In conclusion, loop graft can be an alternative single vein material for distal bypass when no saphenous veins are available. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2019-12-25 /pmc/articles/PMC6957900/ /pubmed/31942219 http://dx.doi.org/10.3400/avd.cr.19-00091 Text en Copyright © 2019 Annals of Vascular Diseases http://creativecommons.org/licenses/by-nc-sa/4.0/ ©2019 The Editorial Committee of Annals of Vascular Diseases. This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Tada, Yuki
Kikuchi, Shinsuke
Okuda, Hiroko
Kamada, Keisuke
Kuriyama, Naoya
Tochikubo, Ai
Uchida, Daiki
Koya, Atsuhiro
Azuma, Nobuyoshi
Distal Bypass Grafting Using the Basilic–Cephalic Loop Vein for Chronic Limb-Threatening Ischemia under Peripheral Nerve Blockades in a Patient with Severely-Reduced Heart Function and End-Stage Renal Disease
title Distal Bypass Grafting Using the Basilic–Cephalic Loop Vein for Chronic Limb-Threatening Ischemia under Peripheral Nerve Blockades in a Patient with Severely-Reduced Heart Function and End-Stage Renal Disease
title_full Distal Bypass Grafting Using the Basilic–Cephalic Loop Vein for Chronic Limb-Threatening Ischemia under Peripheral Nerve Blockades in a Patient with Severely-Reduced Heart Function and End-Stage Renal Disease
title_fullStr Distal Bypass Grafting Using the Basilic–Cephalic Loop Vein for Chronic Limb-Threatening Ischemia under Peripheral Nerve Blockades in a Patient with Severely-Reduced Heart Function and End-Stage Renal Disease
title_full_unstemmed Distal Bypass Grafting Using the Basilic–Cephalic Loop Vein for Chronic Limb-Threatening Ischemia under Peripheral Nerve Blockades in a Patient with Severely-Reduced Heart Function and End-Stage Renal Disease
title_short Distal Bypass Grafting Using the Basilic–Cephalic Loop Vein for Chronic Limb-Threatening Ischemia under Peripheral Nerve Blockades in a Patient with Severely-Reduced Heart Function and End-Stage Renal Disease
title_sort distal bypass grafting using the basilic–cephalic loop vein for chronic limb-threatening ischemia under peripheral nerve blockades in a patient with severely-reduced heart function and end-stage renal disease
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6957900/
https://www.ncbi.nlm.nih.gov/pubmed/31942219
http://dx.doi.org/10.3400/avd.cr.19-00091
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