scholarly journals eComment: In situ basilic vein bypass from the axillary artery to brachial artery for upper extremity arterial reconstruction

2010 ◽  
Vol 11 (1) ◽  
pp. 105-105 ◽  
Author(s):  
Murat Ugurlucan ◽  
Ertugrul Zencirci ◽  
Ilker M. Caglar ◽  
Ercument M. Filik
Keyword(s):  
Upper Extremity ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Basilic Vein ◽  
Arterial Reconstruction ◽  
Vein Bypass

In situ and composite in situ vein bypass for upper extremity ischaemia

1992 ◽  
Vol 6 (1) ◽  
pp. 41-46 ◽  
Author(s):  
H.W. Kniemeyer ◽  
W. Sandmann
Keyword(s):  
Upper Extremity ◽  
Vein Bypass

Innominate to contralateral brachial artery bypass via ministernotomy with anatomic tunneling for critical ischemia of the left upper extremity

Vascular ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 321-324
Author(s):  
Alexandra J Sharp ◽  
Mel J Sharafuddin
Keyword(s):  
Upper Extremity ◽  
Brachial Artery ◽  
Axillary Artery ◽  
Artery Bypass ◽  
Occlusive Disease ◽  
External Beam Radiation ◽  
Critical Ischemia ◽  
Beam Radiation ◽  
Extrinsic Compression ◽  
History Of

Objectives Scarring from prior bypass surgery and irradiation may compromise revascularization options in critical ischemia due to underlying occlusive disease. Occlusive disease of the axillo-brachial artery is particularly difficult to revascularize under such hostile conditions. Method We present a case of a 58-year-old woman presenting with a painful, pulseless, and cool left upper extremity. The patient had a known history of left upper extremity occlusive disease which was managed by subclavian–axillary artery stenting with re-occlusion and subsequent extra-anatomic left carotid-to-proximal brachial artery prosthetic bypass, which was complicated by stroke. The patient had a history of left mastectomy, axillary node dissection, and external beam radiation therapy. When considering revascularization options, the combination of post-radiation changes and scarring of the conventional operative zones for revascularization posed a high risk for complications. We describe a novel approach for such revascularization, where the inflow source was the terminal brachiocephalic artery, outflow to the upper left brachial artery, with anatomic intrathoracic-to-axillary tunneling through the thoracic outlet after verifying the lack of dynamic extrinsic compression at that level. Result The procedure resulted in resolution of the symptoms and the patient continued to do well 2 years later. Conclusion This case shows that anatomic tunneling through the thoracic outlet can be a viable option for upper extremity revascularization when hostile conditions preclude other anatomic tunneling routes or extra-anatomic options.

Composite in Situ Vein Bypass for Upper Extremity Revascularization

1989 ◽  
Vol 83 (3) ◽  
pp. 533-536 ◽  
Author(s):  
Gabriela Guzman-Stein ◽  
Warren Schubert ◽  
David W. Najarian ◽  
Barry H. J. Press ◽  
Bruce L. Cunningham
Keyword(s):  
Upper Extremity ◽  
Vein Bypass

In situ vein bypass for revascularisation of the upper extremity

2003 ◽  
Vol 164 (6) ◽  
pp. 471-473 ◽  
Author(s):  
J. M. Klaase ◽  
I. J. Hoogendam ◽  
P. de Smit ◽  
R. J. van Det
Keyword(s):  
Upper Extremity ◽  
Vein Bypass

Upper Extremity Limb Salvage Accomplished by In Situ Vein Bypass Graft

1988 ◽  
Vol 2 (3) ◽  
pp. 309-314 ◽  
Author(s):  
Robert A. Schwartz ◽  
Vito A. Mantese ◽  
Chris Paletta ◽  
Gary J. Peterson
Keyword(s):  
Upper Extremity ◽  
Limb Salvage ◽  
Bypass Graft ◽  
Vein Bypass ◽  
Vein Bypass Graft

The basilic vein as an in situ bypass for occlusion of the brachial artery

1993 ◽  
Vol 7 (4) ◽  
pp. 457-460 ◽  
Author(s):  
R.P. Noordanus ◽  
M.J.M. Segers ◽  
F.L. Moll
Keyword(s):  
Brachial Artery ◽  
Basilic Vein ◽  
In Situ Bypass
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