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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...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology
2019
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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. |
format | Online Article Text |
id | pubmed-6957900 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology |
record_format | MEDLINE/PubMed |
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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