Year : 2021  |  Volume : 8  |  Issue : 4  |  Page : 337-340

Extra-anatomical iliopopliteal bypass: A novel revascularization technique for infected femoral grafts and pseudoaneurysms

1 Jawahar Lal Nehru Medical College and Hospital, AMU, Aligarh, Uttar Pradesh, India
2 Department of Cardiothoracic and Vascular Surgery, Shyam Shah Medical College, Rewa, Madhya Pradesh, India

Correspondence Address:
Mayank Yadav
Jawahar Lal Nehru Medical College and Hospital, AMU, Aligarh, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijves.ijves_32_21

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Introduction: Pseudoaneurysm of the femoral artery or an infected graft in the femoral region is a very serious disease with devastating complication. The aim of this study is to describe a novel technique for its management in the form of an extra-anatomic bypass between external iliac artery (EIA) and the popliteal/distal superficial femoral artery (SFA). Methods: This is a single-center retrospective study and includes eight consecutive patients with infection of previous femoral grafts and large femoral pseudoaneurysms, in which extra-anatomic bypass between EIA and popliteal or distal SFA was done. Results: The mean age of patients in the study was 43 years. There was one 30-day postoperative mortality (12.5%) due to sepsis. The patency rate in rest of the seven patients at the end of 3 months was 100% with no major complications. Conclusion: Our technique of extra-anatomic bypass from external iliac to femoral or popliteal artery, just medial to anterior superior iliac spine beneath the inguinal ligament in the subcutaneous plane is a simple and quick approach with no major neurological or bleeding risk.

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