2016, Number 2
Bypass aorto-bifemoral. Case presentation
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Language: Spanish
References: 14
Page: 48-54
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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 Avila, 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.
REFERENCES
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