Related Experiment Video
Updated: Aug 17, 2026
Procurement for a Vascularized and Reinnervated Abdominal Wall Allotransplantation
Published on: July 18, 2025
Antegrade revascularisation for chronic visceral ischaemia
1Charing Cross Hospital, Imperial College of Science Technology and Medicine, London, UK. George.Geroulakos@eht.nhs.uk
Insights
Antegrade revascularisation offers advantages for chronic visceral ischaemia management. This surgical approach provides better aortic exposure and utilizes healthy vessels, proving durable and effective.
Area of Science:
- Vascular Surgery
- Abdominal Surgery
Background:
- Management of chronic visceral ischaemia lacks a consensus surgical approach.
- Antegrade revascularisation presents potential benefits over other techniques.
Purpose of the Study:
- To evaluate the efficacy and advantages of antegrade revascularisation for chronic visceral ischaemia.
- To highlight the benefits of accessing the supraceliac aorta for bypass grafting.
Main Methods:
- Utilizing an antegrade bypass originating from the supraceliac aorta.
- Approaching the supraceliac aorta via abdominal or thoracoabdominal extraperitoneal routes.
- Reviewing results from multiple series employing this technique.
Main Results:
- Antegrade revascularisation provides excellent exposure of the supraceliac aorta.
- Bypass can originate from atherosclerosis-spared segments of the aorta.
- The technique is placed in the direction of normal blood flow.
Conclusions:
- Antegrade revascularisation is a durable and effective technique for chronic visceral ischaemia.
- The surgical approach offers significant advantages in terms of exposure and graft origin.
- Further evidence supports its use in managing visceral artery disease.
Abstract:
There is no consensus of opinion on the best surgical approach for the management of chronic visceral ischaemia. The antegrade revascularisation has several advantages. It provides an excellent exposure of the supraceliac aorta, the option of originating the bypass from several areas of the distal thoracic and supraceliac aorta that is usually spared of atherosclerosis and the bypass is placed in the direction of normal blood flow (antegrade direction). The supraceliac aorta can be approached through an abdominal or a low thoracoabdominal extraperitoneal route. The results on several series indicate that it is a durable and effective technique.
