A Novel Hybrid Viabahn-assisted Bypass Technique: Extra-arterial Flossing Wiring for Chronic Total Occlusion in Superficial Femoral ArteryWhat this paper adds
: Introduction: A hybrid Viabahn-assisted bypass (VAB) technique is introduced for revascularizing chronic total occlusion (CTO) in superficial femoral artery (SFA) when bypass surgery is difficult or endovascular intervention fails. Report: This technique combines extra-arterial flossing wiring wi...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2016-01-01
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| Series: | EJVES Short Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S240565531630010X |
| Summary: | : Introduction: A hybrid Viabahn-assisted bypass (VAB) technique is introduced for revascularizing chronic total occlusion (CTO) in superficial femoral artery (SFA) when bypass surgery is difficult or endovascular intervention fails. Report: This technique combines extra-arterial flossing wiring with antegrade-retrograde intervention via traditional open exposure of middle SFA and deploying a Viabahn from the proximal true lumen through the subintimal lumen and extra-arterial space, and back into distal true lumen to restore flow. It only needs a 3–5 cm incision to expose the mid-SFA without clamping or endarterectomy of the SFA. Discussion: This hybrid procedure is an alternative technique to improve SFA revascularization in some difficult CTOs. Keywords: Chronic total occlusion, Subintimal arterial flossing with antegrade–retrograde intervention, Superficial femoral artery |
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| ISSN: | 2405-6553 |