Adaptation of the vein cuff in distal arterial anastomosis (Brighton Sock)

Nash, T P; Elahwal, Mohamed; Edwards, Muriel E.

doi:10.1308/rcsann.2021.0010

Cited by 3 publications

(3 citation statements)

References 3 publications

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“… 19 Recently described, the “Brighton sock” adaptation is reproducible and easy to perform. 10 This technique is proper when there is a short and healthy vein segment of adequate diameter, as in our case. The vein is not longitudinally open.…”

Section: Discussionmentioning

confidence: 72%

“…This would alter the wall shear stress and reduce the stimulus for intimal hyperplasia. 10 , 13 , 14 Vein cuffs also may bring the following technical advantages: allow an easier anastomosis, particularly to small vessels 15 ; help preserve the outflow in the event of graft thrombosis 16 ; and provide a better compliance match between the vein and the recipient artery. 17 The most employed vein cuffs are the Miller cuff 18 and the St. Mary’s boot.…”

Section: Discussionmentioning

confidence: 99%

“…Through medial leg access, the distal anastomosis was done in the peroneal artery with a vein cuff, using the recently described “Brighton sock” technique. 10 Briefly, a short segment of the proximal ipsilateral GSV was harvested and submitted to saline distension. Macroscopic inspection allowed us to choose a healthy venous piece of adequate diameter.…”

Section: Case Reportmentioning

confidence: 99%

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Tapered reinforced graft and vein cuff in the distal anastomosis as adjunct strategies for infrapopliteal prosthetic bypass graft in chronic limb-threatening ischemia: A case report

Dalio,

Gomes,

Bohatch Júnior

et al. 2023

SAGE Open Medical Case Reports

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The great saphenous vein is the optimal conduit for infrapopliteal bypass surgery in chronic limb-threatening ischemia. A prosthetic bypass graft is an acceptable option when the autologous vein is unavailable and the anatomy is not favorable for endovascular therapy. However, the low patency rate of prosthetic grafts calls for adjunct strategies to improve the outcomes. Tapered reinforced grafts and vein cuffs are proposed measures. We herein present a case of a 78-year-old man with chronic limb-threatening ischemia and an extensive necrotic lesion on the dorsum of the left foot. He was successfully treated with a prosthetic bypass using two adjunct strategies to help improve patency: a tapered reinforced graft and a vein cuff in the distal anastomosis. After debridement and partial skin grafting, the wound healed completely in 2 months. The bypass graft was patent for 1 year.

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Section: Discussionmentioning

confidence: 72%

Section: Discussionmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

See 1 more Smart Citation

Tapered reinforced graft and vein cuff in the distal anastomosis as adjunct strategies for infrapopliteal prosthetic bypass graft in chronic limb-threatening ischemia: A case report

Dalio,

Gomes,

Bohatch Júnior

et al. 2023

SAGE Open Medical Case Reports

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Diretrizes sobre doença arterial periférica da Sociedade Brasileira de Angiologia e Cirurgia Vascular

Erzinger,

Polimanti,

Pinto

et al. 2024

J. vasc. bras.

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Resumo Pacientes com doença arterial periférica e aterosclerose generalizada apresentam alto risco de complicações cardiovasculares e nos membros, o que afeta sua qualidade de vida e longevidade. A doença aterosclerótica das extremidades inferiores está associada à alta morbimortalidade cardiovascular, sendo necessário para sua adequada terapia realizar o tratamento dos fatores dependentes do paciente, como a modificação no estilo de vida, e dos fatores dependentes do médico, como o tratamento clínico, tratamento endovascular ou cirurgia convencional. A abordagem médica para a doença arterial periférica é multifacetada, e inclui como principais medidas a redução do nível do colesterol, a terapia antitrombótica, o controle da pressão arterial e do diabetes e a cessação do tabagismo. A adesão a esse regime pode reduzir as complicações relacionadas aos membros, como a isquemia crônica que ameaça o membro e pode levar à sua amputação, e as complicações sistêmicas da aterosclerose, como o acidente vascular cerebral e infarto do miocárdio.

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Brazilian Society of Angiology and Vascular Surgery guidelines on peripheral artery disease

Erzinger,

Polimanti,

Pinto

et al. 2024

J. vasc. bras.

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Patients with peripheral artery disease and generalized atherosclerosis are at high risk of cardiovascular and limb complications, affecting both quality of life and longevity. Lower limb atherosclerotic disease is associated with high cardiovascular morbidity and mortality and adequate management is founded on treatments involving patient-dependent factors, such as lifestyle changes, and physician-dependent factors, such as clinical treatment, endovascular treatment, or conventional surgery. Medical management of peripheral artery disease is multifaceted, and its most important elements are reduction of cholesterol level, antithrombotic therapy, control of arterial blood pressure, control of diabetes, and smoking cessation. Adhesion to this regime can reduce complications related to the limbs, such as chronic limb-threatening ischemia, that can result in amputation, and the systemic complications of atherosclerosis, such as stroke and myocardial infarction.

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Adaptation of the vein cuff in distal arterial anastomosis (Brighton Sock)

Cited by 3 publications

References 3 publications

Tapered reinforced graft and vein cuff in the distal anastomosis as adjunct strategies for infrapopliteal prosthetic bypass graft in chronic limb-threatening ischemia: A case report

Tapered reinforced graft and vein cuff in the distal anastomosis as adjunct strategies for infrapopliteal prosthetic bypass graft in chronic limb-threatening ischemia: A case report

Diretrizes sobre doença arterial periférica da Sociedade Brasileira de Angiologia e Cirurgia Vascular

Brazilian Society of Angiology and Vascular Surgery guidelines on peripheral artery disease

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