Abstract
Prolonged endovascular procedures requiring a large diameter sheath in each groin can be associated with significant intraoperative lower limb ischemia, particularly in those with pre-existing peripheral vascular disease. We report the case of a patient who suffered severe ischemia-reperfusion injury following endovascular repair of a pararenal aortic aneurysm using a fenestrated stent graft and describe the use of temporary axillobifemoral bypass in a patient with similar comorbidities undergoing the same procedure. We propose this adjunctive technique as a means of maintaining antegrade limb perfusion and avoiding the peripheral and central metabolic consequences of ischemia-reperfusion injury.
Original language | English |
---|---|
Pages (from-to) | 867-869 |
Number of pages | 3 |
Journal | Journal of Vascular Surgery |
Volume | 53 |
Issue number | 3 |
DOIs | |
Publication status | Published - 1 Mar 2011 |
Externally published | Yes |