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Posterior exposure for popliteal-crural bypass: a useful approach.
Semin Vasc Surg 1997; 10(1):23-30SV

Abstract

The distal popliteal artery and proximal crural vessels represent common locations for atherosclerotic occlusive disease, especially in the diabetic subpopulation. Symptoms such as pain at rest, distal ulceration, and gangrene are associated with a high risk of limb loss unless arterial flow can be restored. Surgical revascularization is the most appropriate treatment in these patients, using autogenous vein to bypass from the popliteal artery to a crural artery beyond the area of stenosis. The posterior approach is an ideal method with which to achieve this goal. Lesser saphenous vein may be harvested from the same incision used to expose the inflow and outflow vessels. The technique minimizes the length of required conduit and preserves the greater saphenous vein for subsequent use. The wound problems associated with medial vein harvest incisions are less frequent. A through knowledge of the anatomy of the region will allow one to use the posterior approach in selected patients with popliteal and infrapopliteal occlusive disease, providing an additional tool for use in patients with limb-threatening lower extremity ischemia.

Authors+Show Affiliations

Department of Surgery, University of Rochester, NY 14642, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

9068073

Citation

Ouriel, K. "Posterior Exposure for Popliteal-crural Bypass: a Useful Approach." Seminars in Vascular Surgery, vol. 10, no. 1, 1997, pp. 23-30.
Ouriel K. Posterior exposure for popliteal-crural bypass: a useful approach. Semin Vasc Surg. 1997;10(1):23-30.
Ouriel, K. (1997). Posterior exposure for popliteal-crural bypass: a useful approach. Seminars in Vascular Surgery, 10(1), pp. 23-30.
Ouriel K. Posterior Exposure for Popliteal-crural Bypass: a Useful Approach. Semin Vasc Surg. 1997;10(1):23-30. PubMed PMID: 9068073.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Posterior exposure for popliteal-crural bypass: a useful approach. A1 - Ouriel,K, PY - 1997/3/1/pubmed PY - 1997/3/1/medline PY - 1997/3/1/entrez SP - 23 EP - 30 JF - Seminars in vascular surgery JO - Semin Vasc Surg VL - 10 IS - 1 N2 - The distal popliteal artery and proximal crural vessels represent common locations for atherosclerotic occlusive disease, especially in the diabetic subpopulation. Symptoms such as pain at rest, distal ulceration, and gangrene are associated with a high risk of limb loss unless arterial flow can be restored. Surgical revascularization is the most appropriate treatment in these patients, using autogenous vein to bypass from the popliteal artery to a crural artery beyond the area of stenosis. The posterior approach is an ideal method with which to achieve this goal. Lesser saphenous vein may be harvested from the same incision used to expose the inflow and outflow vessels. The technique minimizes the length of required conduit and preserves the greater saphenous vein for subsequent use. The wound problems associated with medial vein harvest incisions are less frequent. A through knowledge of the anatomy of the region will allow one to use the posterior approach in selected patients with popliteal and infrapopliteal occlusive disease, providing an additional tool for use in patients with limb-threatening lower extremity ischemia. SN - 0895-7967 UR - https://www.unboundmedicine.com/medline/citation/9068073/Posterior_exposure_for_popliteal_crural_bypass:_a_useful_approach_ DB - PRIME DP - Unbound Medicine ER -