Adjunctive arteriovenous fistula with tibial and peroneal reconstruction for limb salvage

Results of limb‐salvage surgery with vascular reconstruction for soft tissue sarcoma in the lower extremity: Comparison between only arterial and arterovenous reconstruction

“…This suggests that limb salvage surgery with vascular reconstruction for lower extremity soft tissue sarcomas has been established, and at the same time in cases in which infiltration into the vascular structures is suspected, combined resection of the affected vessels contributes to a high local control rate. On the other hand, the surgical time required for vascular reconstruction is long, attributable to the need for a flap transfer to cover the large defect after wide resection, and a high rate of postoperative complications has been reported [26][27][28]. The most common complications observed were wound infection and skin and flap necrosis.…”

Distal vein patch with an arteriovenous fistula: A viable option for the patient without autogenous conduit and severe distal occlusive disease

“…In 1980, Ibrahim and Dardik 5 reported the use of a common ostium fistula between the tibial artery and vein before anastomosis with a human umbilical vein graft. 5 The authors updated their experience in 1991, reporting 210 tibial bypasses with adjunct fistulas. 14 The results improved during a 10-year period, with 44% patency in the final group from 1983 to 1986.…”

“…Other authors have reported success for difficult tibial artery bypass with the use of a distal arteriovenous fistula (AVF). [5][6][7][8][9] We extrapolated from this experience to optimize bypass patency in those patients lacking autogenous conduit and disadvantaged arterial runoff by combining the DVP technique with a common ostium AVF.…”

Arterialization of the Distal Venous System Alone or Combined With Bypasses to Limited Outflow Tracts: A Last Resort for the "Unsalvageable Leg"?

“…In 1980 Ibrahim et a1. 45 began their clinical attempts to use adjunctive distal arteriovenous fistulas in an effort to enhance patency results of glutaraldehyde-tanned human umbilical vein grafts inserted below the popliteal artery. These fistulas were constructed by joining the common wall of the opened adjacent artery and vein and then suturing the graft end-to-side to the resulting common ostium.…”