A novel innovative technique in the management of bilateral critical limb ischaemia: delayed saphenous vein autologous graft
Autor: | N Math, S Hegazi, T Richards, S Kommu, J Senaratne |
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Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Ann R Coll Surg Engl |
ISSN: | 1478-7083 |
Popis: | A 31-year-old man with primary oxalosis and resultant polyneuropathy presented with worsening leg pain. He was found to have bilateral superficial femoral artery dissections with a non-viable left leg and critically ischaemic right leg. He underwent emergency left above-knee amputation with harvesting of the full-length ipsilateral great saphenous vein (GSV). In a novel technique, the vein was stored for 10 days before being used as conduit in a femoral–popliteal bypass in the contralateral leg. The success of the delayed GSV autograft means the salvage of clinically viable veins in non-viable limbs should be considered when patients present with bilateral acute or critically ischaemic limbs. |
Databáze: | OpenAIRE |
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