Femorofemoral Cross-Perineal Infrascrotal Bypass

Johnson, Hubert A.; Mehrez, Isaac O.; Vittimberga, Frank J.; Kasparian, A.; Bartlett, F.

doi:10.1016/s0890-5096(06)60827-3

Cited by 2 publications

(3 citation statements)

References 5 publications

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“…5,6 The infection of an iliofemoral or aortofemoral graft at the groin is the most common indication for perineal bypass. [5][6][7][8][9][10] In the present series two thirds of the revascularizations were performed for the unilateral sepsis of an infrarenal, aortobifemoral graft; after partial excision of the graft, limited at one groin, the contralateral limb of the graft itself, spared infection, was used as an inflow site for revascularization. Complete removal of the infected graft and extra-anatomical or in situ revascularization with autogenous material remains the standard treatment of an aortofemoral graft infection.…”

Section: Resultsmentioning

confidence: 99%

“…First introduced for the treatment of arterial injuries in a contaminated field or associated with a significant loss of soft tissue at the groin, 3,4 perineal bypass has been progressively extended to the treatment of septic complications of prosthetic arterial grafts at the groin. [5][6][7][8][9][10] In some instances, as in the case of infected arterial patches, short iliofemoral and axillo-unifemoral grafts, complete graft excision can be easily accomplished. In other cases, as when dealing with infected aortofemoral grafts, the complete removal of the graft, including its intracavitary portion, with a consequent new arterial revascularization via an alternative route, still carries with it a significant mortality and morbidity, despite the improved results obtained in the last decade.…”

Section: T He Treatment Of Infectedmentioning

confidence: 99%

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Infrascrotal, Perineal, Femorofemoral Bypass for Arterial Graft Infection at the Groin

Caliò¹,

D’Urso²,

Giacobbi³

et al. 2004

Arch Surg

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Hypothesis: Infrascrotal, perineal, femorofemoral bypass is an acceptable procedure for treating infection of a prosthetic arterial graft limited to a unilateral groin. Design: A consecutive sample clinical study with a mean follow-up of 29 months. Setting: The surgical department of an academic tertiary care center and an affiliated secondary care center. Patients: Nineteen patients with a mean age of 68 years with prosthetic graft infection at the outflow anastomosis on a femoral artery at the Scarpa triangle underwent an infrascrotal, perineal, femorofemoral bypass, with excision of the graft material limited at the groin. The recipient artery was the profunda femoris artery in 12 cases, the superficial femoral in 5, and the distal common femoral artery in 2. Main Outcome Measures: Cumulative survival, recurrence of sepsis, primary graft patency, and limb salvage rates expressed by standard life-table analysis. Results: Postoperative mortality rate was 5%. Cumulative (SE) survival rate was 65% (11.6%) at 3 years. Cumulative (SE) rate of freedom from recurrent sepsis was 88% (8.6%) at 3 years. Cumulative (SE) primary patency and limb salvage rates were 86% (9.4%) and 91% (7.9%), respectively, at 3 years. Conclusion: Femorofemoral bypass with an infrascrotal perineal approach is a valuable procedure for the treatment of femoral arterial graft infection limited at a unilateral groin.

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Section: Resultsmentioning

confidence: 99%

Section: T He Treatment Of Infectedmentioning

confidence: 99%

Infrascrotal, Perineal, Femorofemoral Bypass for Arterial Graft Infection at the Groin

Caliò¹,

D’Urso²,

Giacobbi³

et al. 2004

Arch Surg

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“…Le suivi à long terme est nécessaire pour déterminer la perméabilitéde ce type de pontage atypique par rapport à un pontage fémoro-fémoral normal. Johnson a rapporté un cas de pontage perméable après 7 ans de suivi [ 12 ]. Une seule étude dans la littérature s'est intéressée à la perméabilité de ce type de pontage, celle d'Illuminati et al colligeant 19 patients, avec une perméabilité primaire de 86% à 3 ans et un taux de sauvetage du membre de 91% [ 13 ].…”

Section: Discussionunclassified

Pontage fémoro-fémoral croisé avec tunnulisation périnéale sous-scrotale pour une infection grave du triangle de scarpa

Mrad¹,

Miri²,

Kaouel³

et al. 2015

Pan Afr Med J

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Nous décrivons dans cet article une technique de revascularisation des patients ayant une infection de prothèse vasculaire sus-crurale au niveau dutriangle de scarpa, et qui minimise le risque d'infection récurrente du greffon. Cette technique consiste en un pontage fémoro-fémoral croisé avec un tunnel périnéal sous-cutané loin du scarpa infecté que le tunnel classique sus-pubiensous-cutané ne permet pas. Nous rapportons le cas d'un patient âgé de 52 ans, artéritique, multi-opérés, admis pour infection du scarpa droit sur un pontage fémoro-fémoral prothétique perméable, le patient a eu une explantation de ce pontage et une revascularisation par un pontage périnéal sous-scrotal veineux loin du site infectieux; l’évolution a été excellente et le pontage est encore perméable après deux ans de suivi. Le pontage fémoro-fémoral périnéal est une procédure exceptionnellement réalisée, mais qui peut constituer une vraie option thérapeutique de revascularisation chez les patients avec une infection du scarpa.

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Femorofemoral Cross-Perineal Infrascrotal Bypass

Cited by 2 publications

References 5 publications

Infrascrotal, Perineal, Femorofemoral Bypass for Arterial Graft Infection at the Groin

Infrascrotal, Perineal, Femorofemoral Bypass for Arterial Graft Infection at the Groin

Pontage fémoro-fémoral croisé avec tunnulisation périnéale sous-scrotale pour une infection grave du triangle de scarpa

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