The Thoracic and Cardiovascular Surgeon, Table of Contents Thorac Cardiovasc Surg 2001; 49(4): 245-246DOI: 10.1055/s-2001-16105 How to Do It© Georg Thieme Verlag Stuttgart · New YorkProximalized Lateral Tunnel for the Bypass to the Dorsalis Pedis Artery - a Safe Way to GoÜbersetzung?W. G. Mouton1 , K. T. Otten1 , R. A. Fitridge2 1Department of Surgery, Regionalspital Thun, Switzerland 2Department of Surgery, The Queen Elizabeth Hospital, University of Adelaide, South Australia Recommend Article Abstract Buy Article(opens in new window) All articles of this category(opens in new window) Background: Wound complications associated with bypass grafting to the dorsalis pedis artery are frequent, and threaten the viability of the bypass and the limb. Methods: The long saphenous vein can be tunneled from its bed down the lateral side of the anterior margin of the tibia for subsequent anastomosis with the dorsalis pedis artery. Conclusion: The proximalized lateral tunnel for the bypass to the dorsalis pedis artery has the advantage of protecting the bypass graft from exposure if the patient develops wound breakdown. Key words: Dorsalis pedis artery - Bypass Full Text References References 1 Verhelst R, Bruneau M, Nicolas A L, Frangi R, El Khoury G, Noirhomme P, Dion R. Popliteal-to-distal bypass grafts for limb salvage. Ann Vasc Surg. 1997; 11 505-509 2 Berceli S A, Chan A K, Pomposelli F B , Gibbons G W, Campbell D R, Akbari C M, Brophy D T, LoGerfo F W. Efficacy of dorsal pedal artery bypass: in limb salvage for ischemic heel ulcers. J Vasc Surg. 1999; 30 499-508 3 Lermusiaux P, Laurent B, Richer de Forges M, Artru B. Infection-related exposure of the lower anastomosis of femorodistal bypass salvage through use of pedicle muscle flaps. Ann Vasc Surg. 2000; 14 620-625 4 Piano G, Schwartz L B, Foster I, Bassiouny H S, McKinsey J F, Rosenthal D, Gewertz B L. Assessing outcomes, costs, and benefits of emerging technology for minimally invasive saphenous vein in situ distal arterial bypasses. Arch Surg. 1988; 133 613-617 5 Gooden M A, Gentile A T, Demas C P, Berman S S, Mills J L. Salvage of femoropedal bypass graft complicated by interval gangrene and vein graft blowout using a flow-through radial forearm fasciocutaneous free flap. J Vasc Surg. 1997; 26 711-714 6 Robison J G, Ross J P, Brothers T E, Elliott B M. Distal wound complications following pedal bypass: analysis of risk factors. Ann Vasc Surg. 1995; 9 53-59 7 Wengrovitz M, Atnip R G, Gifford R R, Neumyer MM, Heitjan D F, Thiele B L. Wound complications of autogenous subcutaneous infraguinal arterial bypass surgery: predisposing factors and management. J Vasc Surg. 1990; 11 156-161 W. G. MoutonMS, MD Department of Surgery Regionalspital 3600 Thun Switzerland Phone: +41 (33) 226 26 26 Fax: +41 (33) 226 29 33
