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Extraanatomic lateral reconstruction to the popliteal vessels
P Stierli1, R Rosenthal, F Hefti
1Centre of Vascular Surgery, Aarau, Switzerland. peter.stierli@ksa.ch
Objectives:
To describe the lateral approach to the popliteal artery in reconstructions after soft tissue sarcoma resection in the thigh.
Design:
Case reports. Subjects Four patients with soft tissue sarcoma.
Methods:
Extraanatomic reconstruction of the resected artery and vein in the medial part of the thigh was performed. Vessel reconstruction was performed before tumor resection to avoid leg ischemia.
Results:
In all four patients the artery was replaced by using the contralateral saphenous vein, while the femoral vein was replaced in two cases using e-PTFE. Post-operative complications included one large lymphatic collection and a deep wound infection. Arterial primary graft patency was 100% after 1-7 years. Patency of the e-PTFE-venous graft was 0% without further consequences.
Conclusions:
The extraanatomic lateral replacement of the vessels in the thigh is an elegant method in difficult vascular reconstructions after soft tissue sarcoma resection or debridement for deep vascular infections.
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