Clinical outcomes of obturator canal bypass

Bath, Jonathan; Rahimi, Maham; Long, Becky; Avgerinos, Efthymios D.; Giglia, Joseph S.

doi:10.1016/j.jvs.2016.11.049

Cited by 21 publications

(8 citation statements)

References 23 publications

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“…Obturator canal bypass has been described as a good alternative in revascularization. This method was shown to have high patency rates, although the risk of bleeding was reported to be elevated [10]. In our case, the trans-obturator approach was used to decrease the risk of graft infection and to avoid the re-use of this site for injection.…”

Section: Discussionmentioning

confidence: 86%

Necrotizing Fasciitis Causing Complete Femoral Vessels Necrosis and Thrombosis in an Intravenous Drug Abuser: A Case Report

et al. 2021

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Background: Intravenous drug abuse is an anciently known health and social problem worldwide. The nonsterile application of addicting drugs leads to severe life-threatening vascular complications. The femoral triangle is an easy target for this purpose. Groin necrotic fasciitis (NF) with vessel necrosis is a challenging diagnosis that requires prompt treatment. Case Report: A 44-year-old male intravenous drug user presented for a left groin pain. He was diagnosed by computed tomography scan to have necrotizing fasciitis. Urgent debridement was performed and identified infected and necrotic ruptured femoral vessels without active bleeding. Debridement with vessel ligation was performed, and delayed revascularization was planned. The patient was admitted six weeks later with a left fifth toe necrosis and delayed arterial revascularization was performed via extra-anatomic trans-obturator ilio-femoral anastomosis. The patient had a favorable follow-up. Conclusion: NF in intravenous drug abusers should always be taken into consideration when a patient presents with groin pain and swelling. Urgent surgical control should be established. Extra-anatomical trans-obturator ilio-femoral anastomosis is a good option for revascularization.

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Section: Discussionmentioning

confidence: 86%

Necrotizing Fasciitis Causing Complete Femoral Vessels Necrosis and Thrombosis in an Intravenous Drug Abuser: A Case Report

et al. 2021

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“…In 2017, Bath et al reported in their series of 18 cases overall survival and limb salvage rates of 83% and 81% at 3 years, respectively. 3 Dubouis et al summarized several series in recent literature showing promising primary patency rates all above 50% at 1, 2, and 3 years. 4 In addition to the advantage of separation from a complicated femoral field, the obturator bypass is associated with a low incidence of graft infections.…”

Section: Discussionmentioning

confidence: 99%

Common Iliac Artery to Below-Knee Popliteal Artery Bypass via Obturator Foramen in a Third-Time Reoperative Groin for Limb Salvage in Chronic Limb-Threatening Ischemia

Pratt

Thompson

Peshel

et al. 2023

Vasc Endovascular Surg

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This case report presents the management of a 69-year-old man with an extensive history of peripheral vascular disease including 2 previous failed right femoral to distal bypasses and a left above-the-knee amputation who presented with right lower extremity rest pain and non-healing shin ulcers. A redo bypass was performed for limb salvage via the obturator foramen to avoid his extensively scarred femoral region. The postoperative course was uneventful and the bypass remained patent in the early period. This case demonstrates the usefulness of the obturator bypass to provide revascularization and avoid amputation in a patient with chronic limb-threatening ischemia and multiple failed bypasses.

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“… 5 , 6 , 7 The extra-anatomic bypass involves tunneling an artificial PTFE graft through the obturator foramen and using the EIA as the inflow and the distal SFA as the outflow. This common approach for achieving reperfusion of the distal lower extremity is more advantageous, because Bath et al 8 demonstrated promising limb salvage and patency rates in their study of the long-term outcomes of obturator canal bypass. However, despite the effectiveness of revascularization with extra-anatomic bypass, it would have failed to mitigate our patient's risk of pelvic ischemia.…”

Section: Discussionmentioning

confidence: 99%

Managing an infected femoral artery pseudoaneurysm after thoraco-bifemoral bypass with an innovative configuration

Adlouni¹,

Koh²,

Rahimi³

2022

Journal of Vascular Surgery Cases, Innovations and Techniques

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Clinical outcomes of obturator canal bypass

Cited by 21 publications

References 23 publications

Necrotizing Fasciitis Causing Complete Femoral Vessels Necrosis and Thrombosis in an Intravenous Drug Abuser: A Case Report

Necrotizing Fasciitis Causing Complete Femoral Vessels Necrosis and Thrombosis in an Intravenous Drug Abuser: A Case Report

Common Iliac Artery to Below-Knee Popliteal Artery Bypass via Obturator Foramen in a Third-Time Reoperative Groin for Limb Salvage in Chronic Limb-Threatening Ischemia

Managing an infected femoral artery pseudoaneurysm after thoraco-bifemoral bypass with an innovative configuration

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