Temporary ex vivo posterior tibial artery bypass for iliofemoral XXXX .

@entity1 @entity4094 @entity548 @entity63 @entity1317 @entity130
BACKGROUND: The objective of this study is to report a temporary, ex vivo, distal extremity revascularization technique providing distal perfusion and allowing for a staged repair of @entity130 . In addition, the objective of this report is to provide outcome data after this novel procedure including mortality, limb salvage, and quality of limb assessment. METHODS: From February 1993 to December 2005, temporary ex vivo posterior tibial artery revascularization from the uninjured (donor) to the injured extremity was performed in 14 @entity1 . All @entity1 had blunt iliofemoral @entity1317 with class III or IV @entity548 . An end-to-end anastomosis between the two posterior tibial arteries was performed. Muscle strength of both legs was measured using the Medical Research Council scale and grade 5 means normal strength. RESULTS: The mean age at surgery was 35 years+/-7.4 years (mean+/-SD). All @entity1 with ipsilateral legs survived. Patency of the bypass was achieved in all cases. At a mean time of 30 days+/-10 days after injury, the injured iliofemoral artery was reconstructed, and the bypass was transected 7 days later. At the final follow-up, the muscle strength of both legs was of grade 5 based on Medical Research Council scale. Static two-point discrimination test scores were similar on both feet. CONCLUSIONS: Temporary ex vivo revascularization of the posterior tibial artery is a feasible option in selecting @entity1 with blunt iliofemoral @entity1317 with @entity63 and severe physiologic derangements. This unconventional method provides extremity perfusion distal to the @entity4094 during an interval period, allowing for a staged, proximal revascularization after improvement in the @entity1 's physiologic condition.
