Technique for obtaining proximal intraluminal control when arteries are inaccessible or unclampable because of disease or calcification Frank J. Veith,

Slides:

Advertisements

Similar presentations

Acute mesenteric ischemia after cardiopulmonary bypass

Advertisements

Heparin-coated catheters and heparin-induced thrombocytopenia

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Ultrasound measurement of the luminal diameter of the abdominal aorta and iliac arteries in patients without vascular disease Ole Martin Pedersen, MD,

Enrico Ascer, MD, Frank J. Veith, MD, Sushil K. Gupta, MD

Lloyd M. Taylor, M.D., Edward S. Phinney, M.D., John M. Porter, M.D.

Arterial rupture without balloon rupture during percutaneous transluminal angioplasty Timothy P. Murphy, M.D., John J. Cronan, M.D., Landy P. Paolella,

Human transluminally placed endovascular stented grafts: Preliminary histopathologic analysis of healing grafts in aortoiliac and femoral artery occlusive.

Endovascular aortounifemoral grafts and femorofemoral bypass for bilateral limb- threatening ischemia Takao Ohki, MD, Michael L. Marin, MD, Frank J. Veith,

Endovascular grafts for noninfected aortoiliac anastomotic aneurysms

Low-dose direct fibrinolysis in peripheral vascular disease

Creation and closure of temporary arteriovenous fistulas for venous reconstruction or thrombectomy: Description of technique Richard J. Sanders, M.D.,

A new valvulotome for in situ bypass grafts

Michael L. Marin, MD, Frank J. Veith, MD, Thomas F

Shane S. Parmer, MD, Jeffrey P. Carpenter, MD

Malcolm O. Perry, MD, Richard Kempczinski, MD

Protecting the brain and spinal cord

M. R. Sapoval, MD, B. Beyssen, MD, J. Y. Pagny, MD, E

Percutaneous transluminal angioplasty for the treatment of limb threatening ischemia: Do the results justify an attempt before bypass grafting? Richard.

Interposition grafting for reoperation on the common femoral artery

Heparin-coated catheters and heparin-induced thrombocytopenia

Bruce D. Misare, MD, Frank B. Pomposelli, MD, Gary W

Ruptured ovarian artery aneurysm: A case report

Endovascular aortoiliac grafts in combination with standard infrainguinal arterial bypasses in the management of limb-threatening ischemia: Preliminary.

Vascular disease, matrix abnormalities, and neuropathy: Implications for limb salvage in diabetes mellitus Frank W. LoGerfo, M.D. Journal of Vascular.

Joseph L. Mills, MD, Spence M. Taylor, MD, Roy M. Fujitani, MD

Reese A. Wain, MD, Ross T. Lyon, MD, Frank J. Veith, MD, George L

Interruption of critical aortoiliac collateral circulation during nonvascular operations: A cause of acute limb-threatening ischemia Alan M. Dietzek,

Operative angiography by intraarterial digital subtraction angiography: A new technique for quality control of carotid endarterectomy Carl E. Bredenberg,

Juan Carlos Parodi, MD Journal of Vascular Surgery

Presidential address: Vascular surgery—The third generation

Objective tinnitus resulting from internal carotid artery stenosis

Richard E. Parsons, MD, Michael L. Marin, MD, Frank J

Aortic dissection: Percutaneous management of ischemic complications with endovascular stents and balloon fenestration Suzanne M. Slonim, MD, Ulf Nyman,

Exclusion of a sciatic artery aneurysm and an obturator bypass

Harry Spoelstra, MD, Filip Casselman, MD, Olivier Lesceu, MD

Angioscope-assisted occlusion of venous tributaries with prolamine in in situ femoropopliteal bypass: Preliminary results of canine experiments John.

Eleven-year experience with tibiotibial bypass: An unusual but effective solution to distal tibial artery occlusive disease and limited autologous vein

Alternative techniques for management of distal anastomoses of aortofemoral and iliofemoral endovascular grafts Reese A. Wain, MD, Ross T. Lyon, MD,

Efficacy of a proximal occlusion catheter with reversal of flow in the prevention of embolic events during carotid artery stenting: An experimental analysis

Martin E. Harrington, MD, Myron E. Schwartz, MD, Timothy A

A simple method for combined carotid endarterectomy and correction of internal carotid artery kinking Eric S. Chino, M.D. Journal of Vascular Surgery

Calvin B. Ernst, MD Journal of Vascular Surgery

An improved retraction system for vascular surgical procedures

Low-dose direct fibrinolysis in peripheral vascular disease

Aortoiliac surgery in renal transplant patients

Differential management of acute peripheral arterial ischemia

A modified method for management of prosthetic graft infections involving an anastomosis to the common femoral artery Keith D. Calligaro, MD *, Frank.

Jeffrey P. Gold, M. D. , Jon Cohen, M. D. , Richard J. Shemin, M. D

The fate of the donor artery in extraanatomic revascularization

Composite sequential bypasses to the ankle and beyond for limb salvage

Excimer laser—assisted femoral angioplasty: Early results

Seizures following subclavian-carotid bypass

Shane S. Parmer, MD, Jeffrey P. Carpenter, MD

Thrombolysis for occluded vein bypass grafts through surgical access

Carotid biaxillary bypass: A new operation

Ioannis Prionidis, MD, Tom F. Browne Journal of Vascular Surgery

Kim J. Hodgson, M.D., David S. Sumner, M.D.

Monitoring vascular surgical performance

Glenn C. Hunter, M.D., Stan N. Carson, M.D.

Aortoesophageal fistula: Case report and literature review

Recognition and treatment of arterial insufficiency from Cafergot

Intramural dissection of superior mesenteric artery

James A. DeWeese, MD Journal of Vascular Surgery

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Innominate artery trauma: A thirty-year experience

Twelve-year experience with intraluminal sutureless ringed graft replacement of the descending thoracic and thoracoabdominal aorta Mehmet C. Oz, MD *,

Endovascular repair of two abdominal aortic aneurysms

Optimal proximal anastomosis/tunnel for axillofemoral grafts

Splenic infarction after splenorenal arterial bypass

Presentation transcript:

Technique for obtaining proximal intraluminal control when arteries are inaccessible or unclampable because of disease or calcification Frank J. Veith, MD, Luis A. Sanchez, MD, Takao Ohki, MD Journal of Vascular Surgery Volume 27, Issue 3, Pages 582-586 (March 1998) DOI: 10.1016/S0741-5214(98)70338-6 Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Diagram of patient with heavily scarred groin from previous surgery. To perform femorodistal bypass only the anterior surface of distal common femoral artery must be dissected. Site of guide wire and sheath insertion is indicated by asterisk. B, Guide wire has been inserted short distance through needle. Needle has been removed, and hemostatic sheath and its dilator are being advanced over guide wire. Entrance through arterial wall is facilitated by rotating sheath and dilator as they are advanced as unit. Journal of Vascular Surgery 1998 27, 582-586DOI: (10.1016/S0741-5214(98)70338-6) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 After removal of dilator, directional catheter (Berenstein) is inserted through sheath over wire. Then under fluoroscopic guidance wire is advanced well into external iliac artery. Journal of Vascular Surgery 1998 27, 582-586DOI: (10.1016/S0741-5214(98)70338-6) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Catheter is removed, leaving wire and sheath in place. Dilator is replaced, and sheath and dilator are advanced over wire well into external iliac artery. Journal of Vascular Surgery 1998 27, 582-586DOI: (10.1016/S0741-5214(98)70338-6) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 Dilator is removed along with guide wire, leaving sheath within iliac artery. Balloon catheter is advanced within sheath. After appropriate positioning of balloon with fluoroscopic guidance and contrast injection as needed, sheath is partially withdrawn, and balloon is inflated to occlude external iliac artery and two of its branches (inset). Journal of Vascular Surgery 1998 27, 582-586DOI: (10.1016/S0741-5214(98)70338-6) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 After obtaining distal arterial control, sheath is removed and site of its entrance extended as arteriotomy for distal bypass. Balloon catheter remains in place and provides proximal control. It can be removed as last few stitches of proximal anastomosis are tightened (inset). If catheter-sheath introduction site is not extended as origin of bypass, it can be closed primarily with sutures. Journal of Vascular Surgery 1998 27, 582-586DOI: (10.1016/S0741-5214(98)70338-6) Copyright © 1998 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions