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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front. Med.    2009, Vol. 3 Issue (3) : 375-378     DOI: 10.1007/s11684-009-0048-z
Research articles |
Successful infrainguinal revascularization with autologous vein for inadvertent stripping of superficial femoral artery: a case report
Yin XIA MD , Dan SHANG MD, PhD , Qin LI MD , Wenyi LI MD , Hanqing WU MD , Guofu HU MD , Chao YANG MD , Yiqing LI MD , Bi JIN MD ,
Department of Vascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
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Abstract  A referral patient who had previously undergone varicose vein surgery was admitted as an emergency case. On admission, the patient complained of intolerable pain, paralysis and paresthesia of the affected limb, which was characterized by acute arterial ischemia symptoms. Color Doppler of the artery of the affected limb indicated that no blood flow signal existed in the superficial femoral artery. During exploratory operation, we found that the right superficial femoral artery instead of the great saphenous vein of the affected limb had been stripped and ligated. Therefore, the intact right great saphenous vein was taken for auto-transplantation by inverse end-to-end anastomosis to the proximal and distal residual superficial femoral artery, which resulted in gradual recovery. Except for ischemic reperfusion injury, no other post-operative complications occurred after a 10 month follow-up; however, the long-term curative effect needs further observation. Here we report our treatment experience.
Keywords revascularization      saphenous vein      end-to-end anastomosis      stripping      
Issue Date: 05 September 2009
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-009-0048-z     OR     http://academic.hep.com.cn/fmd/EN/Y2009/V3/I3/375
Imai K, Mori T, Izumoto H, Takabatake N, Kunieda T, Watanabe M. Hyperbaric oxygen combined with intravenous edaravonefor treatment of acute embolic stroke: a pilot clinical trial. Neurol Med Chi, 2006, 46(8): 373–378

doi: 10.2176/nmc.46.373
Tsujita K, Shimomura H, Kawano H, Hokamaki J, Fukuda M, Yamashita T, Hida S, Nakamura Y, Nagayoshi Y, Sakamoto T, Yoshimura M, Arai H, Ogawa H. Effects of Edaravone on Reperfusion Injuryin Patients with Acute Myocardial Infarction. Am J Cardiol, 2004, 94(4): 481–484

doi: 10.1016/j.amjcard.2004.05.007
Enc Y, Karaca P, Ayoglu U, Camur G, Kurc E, Cicek S. Theacute cardioprotective effect of glucocorticoid in myocardial ischemia–reperfusioninjury occurring during cardiopulmonary bypass. Heart Vessels, 2006, 21(3): 152–156

doi: 10.1007/s00380-005-0887-8
Yagmurdur H, Ozcan N, Dokumaci F, Kilinc K, Yilmaz F, Basar H. Dexmedetomidine reduces the ischemia-reperfusion injurymarkers during upper extremity surgery with tourniquet. J Hand Surg, 2008, 33(6): 941–947

doi: 10.1016/j.jhsa.2008.01.014
Kujath P, Eckmann C, Misselwitz F. Low-molecular-weight heparin in arterial reconstructivesurgery: A double-blind, randomized dose-finding trial. Clin Appl Thromb Hemost, 2002, 8(4): 337–345

doi: 10.1177/107602960200800405
Kretschmer G, Hölzenbein TJ. Oral anticoagulationin peripheral vascular surgery: how intense, for how long, or at all? J Intern Med, 1999, 245(4): 389–397

doi: 10.1046/j.1365-2796.1999.00463.x
Flu H C, Breslau P J, Hamming J F, Lardenoye J W. A prospective study of incidence of saphenous nerve injury aftertotal great saphenous vein stripping. DermatolSurg, 2008, 34(10): 1333–1339

doi: 10.1111/j.1524-4725.2008.34285.x
Marcucci G, Accrocca F, Antonelli R, Siani A. The managementof arterial and venous injury during saphenous vein surgery. Interact Cardiovasc Thorac Surg, 2008, 7(3): 432–433

doi: 10.1510/icvts.2007.171942
Rudström H, Björck M, Bergqvist D. Iatrogenic vascular injuries in varicose vein surgery:a systematic review. World J Surg, 2007, 31(1): 228–233

doi: 10.1007/s00268-006-0492-8
Hudorovic N. Iatrogenicvenous injuries (IVIs). Interact CardiovascThorac Surg, 2008, 7(3): 433–434

doi: 10.1510/icvts.2007.171942A
Baldwin Z K, Pearce B J, Curi M A, Desai T R, McKinsey J F, Bassiouny H S, Katz D, Gewertz B L, Schwartz L B. Limb salvage after infrainguinal bypass graft failure. J Vasc Surg, 2004, 39(5): 951–957

doi: 10.1016/j.jvs.2004.01.027
Nanobashvili J, Kopadze T, Tvaladze M, Buachidze T, Nazvlishvili G. War injuries of major extremityarteries. World J Surg, 2003, 27(2): 134–139
Nishinari K, Wolosker N, Yazbek G, Malavolta L C, Zerati AE, Penna V, Lopes A. Vascular reconstructionin limbs associated with resection of tumors. Ann Vasc Surg, 2003, 17(4): 411–416

doi: 10.1007/s10016-003-0031-0
Nishinari K, Wolosker N, Yazbek G, Zerati A E, Nishimoto I N, Penna V, Lopes A. Vascular reconstructionin limbs with malignant tumors. Vasc EndovascularSurg, 2004, 38(5): 423–430

doi: 10.1177/153857440403800505
Berglund J, Björck M, Elfström J; SWEDVASC Femoro-popliteal Study Group. Long-term resultsof above knee femoro-popliteal bypass depend on indication for surgeryand graft-material. Eur J Vasc EndovascSurg, 2005, 29(4): 412–418
De Luccia N, Brochado-Neto F C, Romiti M, Kikuchi M, dos Reis J M, Durazzo A E, Albers M T. Preferential use of nonreversed vein Grafts in above-knee femoropoplitealbypasses for critical ischemia: Midterm outcome. Ann Vasc Surg, 2008, 22(5): 668–675

doi: 10.1016/j.avsg.2008.05.002
Brown E N, Kon Z N, Tran R, Burris N S, Gu J, Laird P, Brazio P S, Kallam S, Schwartz K, Bechtel L, Joshi A, Zhang S, Poston R S. Strategies to reduce intraluminal clot formation in endoscopicallyharvested saphenous veins. J Thorac CardiovascSurg, 2007, 34(5): 1259–1265

doi: 10.1016/j.jtcvs.2007.07.042
Bandyk D F. Surveillance after lower extremity arterial bypass. Perspect Vasc Surg Endovasc Ther, 2007, 19(4): 376–383

doi: 10.1177/1531003507310460
Ferris B L, Mills J L Sr, Hughes J D, Durrani T, Knox R. Is early postoperative duplexscan surveillance of leg bypass grafts clinically important? J Vasc Surg, 2003, 37(3): 495–500

doi: 10.1067/mva.2003.115
Giannini M, Almeida Rollo H, Bonetti Yoshida W, Lastória S, Moura R, de Abreu Maffei F H. Value of ultrasonographic contrast induplex scanning of leg arteries. Comparison with conventional duplexscanning and arteriography. Int Angiol, 2004, 23(3): 263–269
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