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Femoro-femoral artery bypass graft occlusion

Case contributed by Dr Bruno Di Muzio

Presentation:

Patient with advanced atherosclerotic disease in the lower limbs. Graft surgery performed between the femoral arteries to restore blood flow in the left femoral artery.

Patient Data:

Age: 61
Gender: Female
Race: Caucasian
Modality: CT
There is a derivation of the left common iliac artery to form the flow of the right common iliac artery. A synthetic shunt between the femoral arteries was implemented in order to promote the supply flow to the left leg. There is occlusion of the graft, without contrast inside.

Case Discussion:

Lower extremity bypass grafts have been used in the treatment of lower extremity arterial disease since the first successful saphenous vein graft procedure was performed in 1949. Since then, bypass grafts have become the treatment of choice for lower extremity revascularization and limb salvage1.

A wide variety of graft procedures that use both biologic and synthetic materials are currently being performed. Polytetraflouroethylene (PTFE) is used in expanded synthetic grafts1.

Femorofemoral bypass is a procedure with insertion of a vascular prosthesis between the femoral arteries to bypass an occluded or injured iliac artery.

Late complications that result in graft stenosis or occlusion are most often related to intimal hyperplasia or atherosclerosis1.

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