Revascularização ilíaco-femoral alternativa em doença oclusiva aortoilíaca extensa
Alternative iliofemoral revascularization in extensive aortoiliac occlusive disease
Júlio César Gomes Giusti; Janderson Ribeiro Fernandes; Samara Pontes Soares; Karoline Rayana dos Santos; Fabio Henrique Rossi; João Paulo Neves Beraldo; Francisco Cardoso Brochado Neto
Resumo
Palavras-chave
Abstract
Abstract: Over recent decades, there has been a considerable increase in use of endovascular methods to treat aortoiliac occlusive disease. It has been demonstrated that this approach offers many benefits, primarily for non-complex arterial lesions of the iliac axis, but difficulties persist with achieving adequate results over the medium and long term when treating extensive occlusive disease. Arterial bypasses to alternative vicarious arteries of the femoral-genicular complex for limb salvage are well known in the literature describing cases that are not favorable for conventional or endovascular surgery. We describe the case of a patient with extensive aortoiliac occlusive disease treated with an arterial bypass in the iliofemoral territory, using an alternative autologous substitute and the descending lateral femoral artery as recipient artery. Alternative bypasses and substitutes that are normally reserved for exceptional cases can and should be part of the vascular therapeutic arsenal and have a contribution to make in cases in which endovascular surgery does not yet enable us to achieve good results.
Keywords
References
Powell RJ, Fillinger M, Walsh DB, Zwolak R, Cronenwett JL. Predicting outcome of angioplasty and selective stenting of multisegment iliac artery occlusive disease. J Vasc Surg. 2000;32(3):564-9. http://dx.doi.org/10.1067/mva.2000.107760. PMid:10957665.
Timaran CH, Prault TL, Stevens SL, Freeman MB, Goldman MH. Iliac artery stenting versus surgical reconstruction for TASC (TransAtlantic Inter-Society Consensus) type B and type C iliac lesions. J Vasc Surg. 2003;38(2):272-8. http://dx.doi.org/10.1016/S0741-5214(03)00411-7. PMid:12891108.
Simó G, Banga P, Darabos G, Mogán I. Stent-assisted remote iliac artery endarterectomy: an alternative approach to treating combined external iliac and common femoral artery disease. Eur J Vasc Endovasc Surg. 2011;42(5):648-55. http://dx.doi.org/10.1016/j.ejvs.2011.06.005. PMid:21704539.
Barral X, Salari GR, Toursarkissian B, Favre JP, Gournier JP, Reny P. Bypass to the perigeniculate collateral vessels: a useful technique for limb salvage: preliminary report on 20 patients. J Vasc Surg. 1998;27(5):928-35. http://dx.doi.org/10.1016/S0741-5214(98)70274-5. PMid:9620146.
Brochado-Neto FC, Gonzalez J, Cinelli M Jr, Albers M. Bypass to the genicular arteries for revascularisation of the lower limb. Eur J Vasc Endovasc Surg. 2000;20(6):545-9. http://dx.doi.org/10.1053/ejvs.2000.1236. PMid:11136590.
De Luccia N, Sassaki P, Durazzo A, et al. Limb salvage using bypass to the perigeniculate arteries. Eur J Vasc Endovasc Surg. 2011;42(3):374-8. http://dx.doi.org/10.1016/j.ejvs.2011.04.024. PMid:21632264.
De Luccia N, Appolonio F, Santo FR. Arm vein bypass from distal deep femoral to superior medial genicular artery for limb salvage. J Vasc Surg. 2009;50(5):1196. http://dx.doi.org/10.1016/j.jvs.2009.02.239. PMid:19375268.
Szilagyi DE, Smith RF, Elliott JP, Vrandecic MP. Infection in arterial reconstruction with synthetic grafts. Ann Surg. 1972;176(3):321. http://dx.doi.org/10.1097/00000658-197209000-00008. PMid:4262892.
Matatov T, Reddy KN, Doucet LD, Zhao CX, Zhang WW. Experience with a new negative pressure incision management system in prevention of groin wound infection in vascular surgery patients. J Vasc Surg. 2013;57(3):791-5. http://dx.doi.org/10.1016/j.jvs.2012.09.037. PMid:23312938.
Smeets L, Borst GJ, Vries JP, van den Berg JC, Ho GH, Moll FL. Remote iliac artery endarterectomy: seven-year results of a less invasive technique for iliac artery occlusive disease. J Vasc Surg. 2003;38(6):1297-304. http://dx.doi.org/10.1016/S0741-5214(03)00929-7. PMid:14681631.
Jaff MR, White CJ, Hiatt WR, et al. An update on methods for revascularization and expansion of the TASC lesion classification to include below-the-knee arteries: a supplement to the Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). Vasc Med. 2015;20(5):465-78. http://dx.doi.org/10.1177/1358863X15597877. PMid:26268268.
Bandyk DF. Vascular surgical site infection: risk factors and preventive measures. Semin Vasc Surg. 2008;21(3):119-23. http://dx.doi.org/10.1053/j.semvascsurg.2008.05.008. PMid:18774446.
Spahos T, Torella F. The basilic vein: an alternative conduit for complex iliofemoral reconstruction. Eur J Vasc Endovasc Surg. 2012;43(4):457-9. http://dx.doi.org/10.1016/j.ejvs.2012.01.002. PMid:22264425.
Latour B, Nourissat G, Duprey A, Berger L, Favre JP, Barral X. Bypass to the perigeniculate collateral arteries: mid-term results. Eur J Vasc Endovasc Surg. 2008;35(4):473-9. http://dx.doi.org/10.1016/j.ejvs.2007.11.013. PMid:18226562.
Romiti M, Miranda F Jr, Brochado-Neto FC, Kikuchi M, Albers M. Importance of the arteriographic anatomy of the descending genicular artery and sural arteries in patients with atherosclerotic occlusion of the popliteal artery. Vascular. 2006;14(4):201-5. http://dx.doi.org/10.2310/6670.2006.00043. PMid:17026910.
Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FGR. Inter-society consensus for the management of peripheral arterial disease (TASC II). Eur J Vasc Endovasc Surg. 2007;33(Supl 1):S1-75. http://dx.doi.org/10.1016/j.ejvs.2006.09.024. PMid:17140820.
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email