Objective: We evaluated the long-term outcomes of obturator bypass.
Material And Methods: A total of 16 patients (13 males and 3 females; 17 limbs) who underwent obturator bypass surgery at our department between April 1995 and March 2008 were included.
Results: Their ages ranged from 50 to 90 with a mean of 74 years. Inguinal infections observed in the 16 patients consisted of vascular graft infections in 13 patients, hemostatic device infections following endovascular therapy in two patients, and femoral artery infections following coronary angiography in one patient. The cumulative patency rate was 69% for 3 years and 43% for 5 years. The cumulative survival rate was 64% for 3 years and 55% for 5 years.
Conclusion: Obturator bypass surgery was successfully performed with favorable results for arterial infections and vascular graft infections in the inguinal region.
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http://dx.doi.org/10.3400/avd.oa.15-00085 | DOI Listing |
Vasc Endovascular Surg
February 2025
Division of Vascular Surgery, University of South Florida College of Medicine, Tampa, FL, USA.
Innovations (Phila)
April 2024
Department of Cardiovascular Surgery, University of Chicago, IL, USA.
Objective: Femoral artery cannulation is the most commonly used approach for cardiopulmonary bypass (CPB) in robotic cardiac procedures. However, without adding a distal perfusion cannula, leg ischemia can occur in up to 11.5% of patients.
View Article and Find Full Text PDFMed J Islam Repub Iran
June 2023
Department of Plastic Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt.
Background: A rather common side effect of using prosthetic grafts is infection of the groin area. Infections in the groin may be avoided by performing arterial bypass tenneling via the obturator foramen during lower extremity revascularization. This study aimed to evaluate the safety and efficacy of extra-anatomical bypass obturator in patients with groin infection.
View Article and Find Full Text PDFVasc Endovascular Surg
November 2023
Department of Surgery, George Washington University Hospital, Washington, DC, USA.
This case report presents the management of a 69-year-old man with an extensive history of peripheral vascular disease including 2 previous failed right femoral to distal bypasses and a left above-the-knee amputation who presented with right lower extremity rest pain and non-healing shin ulcers. A redo bypass was performed for limb salvage via the obturator foramen to avoid his extensively scarred femoral region. The postoperative course was uneventful and the bypass remained patent in the early period.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
December 2022
Department of Cardiovascular Surgery, Houston Methodist Hospital, Houston, TX.
An infected femoral artery pseudoaneurysm after aortic reconstruction is a devastating surgical complication associated with the morbidity of limb loss and pelvic ischemia with a reinfection rate of ≤10%. In the present case report, we have described a unique approach for an infected femoral pseudoaneurysm after thoraco-bifemoral bypass using an innovative configuration, in addition to an obturator bypass technique, in a patient with a complex vascular history. This unique approach made use of an existing limb of a thoraco-bifemoral bypass graft to provide inflow to two outflow conduits, the external iliac artery and superficial femoral artery, allowing for preservation of both pelvic and lower extremity perfusion.
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