Buradasınız

Gecikmiş Femoral Arter Trombozu ve Derin Ven Trombozu Olan Bir Hastada Venöz Trombektomi ve Ekstra-Anatomik Bypass: Olgu Sunumu

Venous Thrombectomy and Extraanatomic Bypass in A Patient With Delayed Femoral Arterial Occlusion and Deep Venous Thrombosis: Case Report

Journal Name:

Publication Year:

Abstract (2. Language): 
Atherosclerotic arterial occlusion is a frequent cause of lower extremity ischemia. Although aorto-bifemoral bypass is considered to be the gold standard, it proceeds with high mortality and morbidity rates in elderly patients with existing problems. In this case, we present a 48 years-old patient with the complaints of leg ischemia and deep venous thromboembolism with late admission. Bilateral arterial embolectomy, right femoral endarterectomy, right axillo-femoral and right to left femoro-femoral bypass with synchronous venous thrombectomy were performed. Axillobifemoral bypass can be effectively performed as an alternative technique when the aortobifemoral bypass is not feasible due to co-morbidities.
Abstract (Original Language): 
Arterlerin aterosklerotik tıkanmaları alt ekstremite iskemisinin sık görülen sebepleri arasındadır. Aorto bifemoral bypass tedavide altın standart olmakla birlikte özellikle yaşlı hastalarda varolan diğer sorunlar nedeniyle yüksek morbidite ve mortalite ile uygulanabilmektedir. Bu olguda 48 yaşında bir erkek hasta gecikmiş bacak iskemisi ve derin venöz tromboz bulgularıyla müracaat etti. Bilateral femoral arteriyal embolektomi, sağ femoral endarterektomiyi takiben sağ aksillo femoral ve femoro femoral bypass , eş zamanlı olarak venöz trombektomi yapıldı. Birlikte varolan sorunlar nedeniyle aorto bifemoral bypass yapılamayan durumlarda aksillo bifemoral bypass etkin bir alternatif olarak kullanılabilir.
105-107

REFERENCES

References: 

1. Martin D, Katz SG. Axillofemoral bypass for aortoiliac
occlusive disease. Am J Surg 2000;180:100–3.
2. Szilagyi DE, Elliot JP, Smith RF, Reddy DJ, McPharlin M. A
thirty year survey of the reconstructive surgical treatment of
aortoiliac disease. J Vasc Surg 1986;3:421– 36.
3. Jones AF, Kempczinski RF. Aortofemoral bypass grafting: A
reappraisal. Arch Surg 1981;116:301–5.
4. Blaisdell WF, Hall AD. Axillary-femoral bypass for lower
extremity ischemia. Surgery 1963;54:563–8.
5. Sauvage LR, Wood SJ. Unilateral axillary bilateral femoral
bifurcation graft: A procedure for the poor risk patient with
aortoiliac disease. Surgery 1966;60:573-7
6. Hohlfeld J, Schneider M, Hein R, Barthels M, von der Lieth H,
Rosenthal H, LangW, Alexander K. Thrombosis of the terminal aorta, deep vein thrombosis, recurrent fetal loss,and
antiphospholipid antibodies. Vasa 1996;25:194-9.
7. Fletcher JP, Little JM, Loewenthal J, May J, Sheil AG,
Stephen M. Initial experience with polytetrafluoroethylene for
extraanatomic bypass. Am J Surg 1980;139:696-9.
8. Musicant SE, Giswold ME, Olson CJ, Landry GJ, Taylor LM
Jr, Yeager RA, Edwards JM, Moneta GL. Postoperative
duplex scan surveillance of axillofemoral bypass grafts. J
Vasc Surg 2003;37:54-61.

Thank you for copying data from http://www.arastirmax.com