Presentation is loading. Please wait.

Presentation is loading. Please wait.

Subscapular artery Y-shaped flow-through muscle flap: A novel one-stage limb salvage procedure  Sergueï Malikov, MD, Pierre-Edouard Magnan, MD, Pierre.

Published byDeddy Johan Modified over 5 years ago

Similar presentations

Presentation on theme: "Subscapular artery Y-shaped flow-through muscle flap: A novel one-stage limb salvage procedure  Sergueï Malikov, MD, Pierre-Edouard Magnan, MD, Pierre."— Presentation transcript:

1 Subscapular artery Y-shaped flow-through muscle flap: A novel one-stage limb salvage procedure 
Sergueï Malikov, MD, Pierre-Edouard Magnan, MD, Pierre Champsaur, MD, PhD, Dominique Casanova, MD, PhD, Alain Branchereau, MD  Journal of Vascular Surgery  Volume 48, Issue 1, Pages (July 2008) DOI: /j.jvs Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Concept of the Y-shaped flow-through free flap: anatomic unit composed of a vascular axis that yields an arterial graft (bypass) with its distal collateral Y-shaped branch supplying a cutaneous or muscle patch (flap). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 A, Ischemic tissue loss of the forefoot. B, A preoperative angiogram shows the occlusion of the posterior tibial artery and of the peroneal artery, the stenoses of the anterior tibial artery, and its occlusion at ankle level. The pedal artery is reinjected. C, An intraoperative image shows the muscle flap. D, A drawing shows the subscapular artery y-shaped flow-through (Y-SCAFT) muscle flap supplying the pedal artery from the anterior tibial artery. E, Flap at 16 months. F, A completion angiogram at 16 months shows the patency of the bypass, the distal anastomosis to the pedal artery (filled arrow), and the patency of the artery of the flap (clear arrow). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

4 Fig 3 Data of ankle-brachial index (ABI) before and after surgery. Solid line: median; hinges: 25th and 75th percentiles (height of box: inter-quartile range); whiskers: extremes values observed. Statistically significant differences were found between preoperative and postoperative findings (P < .001; Wilcoxon test). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

5 Fig 4 Kaplan-Meier curves of (A) survival, (B) limb salvage, and (C) graft patency after treatment by subscapular artery y-shaped flow-through muscle flap in 20 patients. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

6 Fig 5 Photographs show patient (A) postoperatively and (B) results at 16 months after subscapular artery y-shaped flow-through (Y-SCAFT) muscle flap treatment and a full-thickness skin graft to cover the weight-bearing surfaces. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Download ppt "Subscapular artery Y-shaped flow-through muscle flap: A novel one-stage limb salvage procedure  Sergueï Malikov, MD, Pierre-Edouard Magnan, MD, Pierre."

Similar presentations

Persistent sciatic artery: Embryology, pathology, and treatment

Persistent sciatic artery: Embryology, pathology, and treatment
Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.
Outcomes of cold-stored venous allograft for below-knee bypasses in patients with critical limb ischemia  Vincent Ziza, MD, Ludovic Canaud, MD, PhD, Thomas.

Outcomes of cold-stored venous allograft for below-knee bypasses in patients with critical limb ischemia  Vincent Ziza, MD, Ludovic Canaud, MD, PhD, Thomas.
Tibiotibial vein bypass grafts: A new operation for limb salvage

Tibiotibial vein bypass grafts: A new operation for limb salvage
Adam W. Beck, MD, Erin H. Murphy, MD, Jennie A

Adam W. Beck, MD, Erin H. Murphy, MD, Jennie A
Lloyd M. Taylor, M.D., Edward S. Phinney, M.D., John M. Porter, M.D. 

Lloyd M. Taylor, M.D., Edward S. Phinney, M.D., John M. Porter, M.D. 
Endovascular therapy for acute limb ischemia

Endovascular therapy for acute limb ischemia
Angiographic scoring of vascular occlusive disease in the diabetic foot: Relevance to bypass graft patency and limb salvage  Boulos Toursarkissian, MD,

Angiographic scoring of vascular occlusive disease in the diabetic foot: Relevance to bypass graft patency and limb salvage  Boulos Toursarkissian, MD,
Mortality and complications after aortic bifurcated bypass procedures for chronic aortoiliac occlusive disease  Kim Bredahl, MD, PhD, Leif Panduro Jensen,

Mortality and complications after aortic bifurcated bypass procedures for chronic aortoiliac occlusive disease  Kim Bredahl, MD, PhD, Leif Panduro Jensen,
Karan Garg, MD, Caron B. Rockman, MD, Billy J. Kim, MD, Glenn R

Karan Garg, MD, Caron B. Rockman, MD, Billy J. Kim, MD, Glenn R
Results of combined vascular reconstruction and free flap transfer for limb salvage in patients with critical limb ischemia  Alexander Meyer, MD, Katja.

Results of combined vascular reconstruction and free flap transfer for limb salvage in patients with critical limb ischemia  Alexander Meyer, MD, Katja.
Transection of the brachial artery after closed posterior elbow dislocation  Bertrand Marcheix, MD, Xavier Chaufour, MD, PhD, Jacques Ayel, MD, Lucy Hollington,

Transection of the brachial artery after closed posterior elbow dislocation  Bertrand Marcheix, MD, Xavier Chaufour, MD, PhD, Jacques Ayel, MD, Lucy Hollington,
A hybrid approach to recanalization of a chronic iliofemoral occlusion

A hybrid approach to recanalization of a chronic iliofemoral occlusion
Revision using distal inflow is a safe and effective treatment for ischemic steal syndrome and pathologic high flow after access creation  Thomas M. Loh,

Revision using distal inflow is a safe and effective treatment for ischemic steal syndrome and pathologic high flow after access creation  Thomas M. Loh,
Surgical result of critical limb ischemia due to tibial arterial occlusion in patients with systemic scleroderma  Juno Deguchi, MD, PhD, Kunihiro Shigematsu,

Surgical result of critical limb ischemia due to tibial arterial occlusion in patients with systemic scleroderma  Juno Deguchi, MD, PhD, Kunihiro Shigematsu,
Increased warm ischemia time during vessel harvest decreases the primary patency of cryopreserved conduits in patients undergoing lower extremity bypass 

Increased warm ischemia time during vessel harvest decreases the primary patency of cryopreserved conduits in patients undergoing lower extremity bypass 
Fifteen years of infrapopliteal arterial reconstructions with cryopreserved venous allografts for limb salvage  Caren Randon, MD, Bart Jacobs, MD, Frederik.

Fifteen years of infrapopliteal arterial reconstructions with cryopreserved venous allografts for limb salvage  Caren Randon, MD, Bart Jacobs, MD, Frederik.
Refinement of survival prediction in patients undergoing lower extremity bypass surgery: Stratification by chronic kidney disease classification  Christopher.

Refinement of survival prediction in patients undergoing lower extremity bypass surgery: Stratification by chronic kidney disease classification  Christopher.
Adjunctive use of the superficial femoral vein for vascular reconstructions  Soma Brahmanandam, MD, MPH, Daniel Clair, MD, James Bena, MS, Timur Sarac,

Adjunctive use of the superficial femoral vein for vascular reconstructions  Soma Brahmanandam, MD, MPH, Daniel Clair, MD, James Bena, MS, Timur Sarac,
Takashi Nakamura, MD, Kotaro Suemitsu, MD, Junichi Nakamura, MD 

Takashi Nakamura, MD, Kotaro Suemitsu, MD, Junichi Nakamura, MD 

Similar presentations

Ads by Google