Bypass aorto-bifemoral. Case presentation
Abstract
Introduction: during the last decade have perfected and introduced new percutaneous technologies which by its low morbidity –compared with traditional surgical alternative– are widely used; however the derivatively revascularization surgery-based on DeBakey techniques and collaborators, with the principle of graft-bypass or artificial collateral branches with homeoplastic or alloplastic vascular grafts, is the treatment of choice for patients classified as TASC-D by the Trans-Atlantic Inter-Society Consensus.
Objective: to present the first case operated by the bypass aorto-bifemoral technique in Ciego de Ávila province.
Case presentation: the patient, treated at the Service of Angiology and Vascular Surgery in the Provincial General Teaching Hospital "Dr. Antonio Luaces Iraola " of Ciego de Ávila, presented severe pain in the gluteal region –after walking– and cramps in the thighs and legs, which forced him to rest. He was diagnosed with steno-occlusive aortoiliac disease and after an angiotomography aorto-ilio-femoro-popliteal, was carried out an anatomical derivative revascularization surgery with prosthetic graft (through the conventional technique of bypass aorto-bifemoral for transperitoneal route) and a second operation with the conventional technique of left femoral-popliteal bypass with polytetrafluoroethylene prosthesis. A year after surgery, the patient has good general condition.
Conclusions: however advances in endovascular surgical techniques, there are no visible injuries with them, which can be treated through bypass aorto-bifemoral; the proper selection of patients and a well done technique allow good results despite of the surgical risk.
Downloads
References
Jozami S, Albertal M, Zaefferer P, Pfund G, Fabiani A, Nau G, et al. Tratamiento de la isquemia crítica de miembros inferiores. Rev Argent Cardiol [Internet]. 2010 [citado 17 Dic 2009];78(2):129-33. Disponible en: http://www.redalyc.org/pdf/3053/305326918016.pdf
Rutherford RB. Clinical staging of acute limb ischemia as the basis for choice of revascularization method: when and how to intervene. Semin Vasc Surg [Internet]. 2009 [citado 11 Feb 2010];22(1):5-9. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0895796708000744.pdf?locale=es_ES
Heberer G, Rau G, Löhr HH. Obliteraciones arteriales crónicas de la mitad inferior del cuerpo. En: Heberer G, Rau G, Löhr HH. Enfermedades de la aorta y de las grandes arterias. Fisiopatología, clínica, diagnóstico radiológico y terapéutica quirúrgica. Barcelona: Editorial Científico-Médica; 1969. p. 349-406.
Oviedo Gamboa I, Herbas Bernal RI, Zegarra Santiesteban W. Diagnóstico por tomografía del Síndrome de Leriche: reporte de un caso clínico. Gac Med Bol [Internet]. Dic 2013 [citado 23 Oct 2013];36(2):105-7. Disponible en: http://www.scielo.org.bo/pdf/gmb/v36n2/v36n2a12.pdf
Singh H, Kachewar S. Atlas Práctico de Tomografía Computada. 7ma ed. Ciudad de Panamá: Jaypee Highlights Medical Publishers; 2010.
Vaquero C, editor. Cirugía de la aorta abdominal y sus ramas. Valladolid: PROCIVAS; 2011.
Tendera M, Aboyans V, Bartelink ML, Baumgartner I, Clément D, Collet JF, et al. Guía de práctica clínica de la ESC sobre diagnóstico y tratamiento de las enfermedades arteriales periféricas. Rev Esp Cardiol [Internet]. 2012 [citado 11 Dic 2011];65(2):e1-57 Disponible en: http://www.dep4.san.gva.es/contenidos/urg/archivos/guias/2012/Enfermedades%20arteriales%20perif%C3%A9ricas%20(ESC%202012).pdf
González Herrera R, Serrano Lozano JA, Cossío Zazueta A, Sánchez Nicolat NE, Huerta Huerta H, Cal y Mayor Turnbull I. Factores de riesgo para pérdida de la extremidad después de una revascularización infrainguinal. Rev Mex Angiol [Internet]. Dic 2006 [citado 9 Ene 2006];34(4):153-60. Disponible en: http://www.imbiomed.com.mx/1/1/descarga.php?archivo=An064-04.pdf
Serrano Hernando FJ. Martín Conejero A. Enfermedad arterial periférica: aspectos fisiopatológicos, clínicos y terapéuticos. Rev Esp Cardiol [Internet]. 2007 [citado 6 Abr 2007];60(9):969-82. Disponible en: http://pdf.revespcardiol.org/watermark/ctl_servlet?_f=10&pident_articulo=13109651&pident_usuario=0&pcontactid=&pident_revista=25&ty=107&accion=L&origen=cardio&web=www.revespcardiol.org&lan=es&fichero=25v60n09a13109651pdf001.pdf
Vaquero C, editor. Nuevas tecnologías endovasculares. Valladolid: PROCIVAS; 2013.
Vaquero C, editor. Procedimientos endovasculares. Valladolid: PROCIVAS; 2006.
Vaquero C, Ros E, editores. Procedimientos terapéuticos oclusivos endovasculares. Valladolid: PROCIVAS; 2010.
Vaquero C, Ros E, editores. Formación y entrenamiento en técnicas endovasculares. Valladolid: PROCIVAS; 2011.
Rutherford RB, Jones DN, Martin MS, Kempczinski RF, Gordon RD. Serial hemodinamyc assessment of aorto-bifemoral bypass. J Vas Surg. 1986;4:428-35.
Published
How to Cite
Issue
Section
License
Those authors who have publications with this journal accept the following terms of the License CC Attribution-NonCommercial 4.0 International (CC BY-NC 4.0):
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
