Medical College of Wisconsin
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The importance of antegrade completion angiography in aortobifemoral bypass limb revision. J Vasc Surg 2012 Apr;55(4):1141-4

Date

01/13/2012

Pubmed ID

22236884

DOI

10.1016/j.jvs.2011.10.123

Scopus ID

2-s2.0-84859164865 (requires institutional sign-in at Scopus site)   1 Citation

Abstract

Aortobifemoral bypass is a durable arterial reconstruction with well-defined failure modes. Management of graft limb thrombosis requires restoration of inflow and correction of any causative outflow lesions. Successful, minimally invasive inflow restoration with catheter thrombectomy can become problematic if assessment of technical adequacy is deficient or reveals causal lesions within the graft body. We describe a case illustrating the potential shortfall of retrograde graft limb completion angiography in depicting neointimal flaps, the benefit of antegrade angiography in depicting these flaps, and a novel utilization of a standard endovascular method to correct flaps that involve the graft body.

Author List

Helmick RA, Mesh CL

Author

Ryan Helmick MD Associate Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Angiography, Digital Subtraction
Aorta, Abdominal
Arterial Occlusive Diseases
Female
Femoral Artery
Graft Occlusion, Vascular
Humans
Minimally Invasive Surgical Procedures
Reoperation
Risk Assessment
Stents
Thrombectomy
Treatment Outcome
Vascular Patency
Vascular Surgical Procedures