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 York Proximalized Lateral Tunnel for the Bypass to the Dorsalis Pedis Artery - a Safe Way to Go Übersetzung?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 All articles of this category 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
