A Novel Hybrid Viabahn-assisted Bypass Technique: Extra-arterial Flossing Wiring for Chronic Total Occlusion in Superficial Femoral Artery. (2016)

• Record Type: Journal Article
• Authors: Lin, T.C.; Chen, P.L.; Chen, I.M.
• Is Part Of: EJVES short reports. Volume 32(2016)
• Page Start: 14
• Page End: 17
• Publication Date: 2016
• Subjects: Chronic total occlusion -- Subintimal arterial flossing with antegrade–retrograde intervention -- Superficial femoral artery; Endoscopic surgery -- Periodicals; Blood-vessels -- Surgery -- Periodicals; 617.413005
• DOI: 10.1016/j.ejvssr.2016.04.003
• Languages: English
• ISSNs: 2405-6553

Abstract

Abstract : Introduction: A hybrid Viabahn-assisted bypass (VAB) technique is introduced for revascularizing chronic total occlusion (CTO) in superficial femoral artery (SFA) when bypass surgery is difficult or endovascular intervention fails. Report: This technique combines extra-arterial flossing wiring with antegrade-retrograde intervention via traditional open exposure of middle SFA and deploying a Viabahn from the proximal true lumen through the subintimal lumen and extra-arterial space, and back into distal true lumen to restore flow. It only needs a 3–5 cm incision to expose the mid-SFA without clamping or endarterectomy of the SFA. Discussion: This hybrid procedure is an alternative technique to improve SFA revascularization in some difficult CTOs.