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Evaluation of a Novel Laser-assisted Coronary Anastomotic Connector - the Trinity Clip - in a Porcine Off-pump Bypass Model

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Is above knee bypass defunct?

¹Eastern Virginia Medical School, Vascular and Transplant Specialists, Norfolk, VA 23510, USA.

The Journal of Cardiovascular Surgery

|September 6, 2006

Summary

Endovascular treatments are increasingly replacing conventional bypass surgery, especially above-knee bypass with prosthetic grafts. This shift is driven by improving endovascular techniques and comparable or superior patency rates.

Area of Science:

Vascular Surgery
Endovascular Interventions

Background:

Conventional bypass surgery, particularly above-knee bypass with prosthetic grafts, has been a standard treatment for infrainguinal interventions.
Endovascular techniques have seen significant advancements, challenging traditional surgical approaches.

Purpose of the Study:

To analyze the impact of improving endovascular treatments on the use of conventional bypass surgery.
To project the future trend of infrainguinal intervention techniques.

Main Methods:

Comparative analysis of endovascular treatment success rates versus conventional bypass surgery.
Review of current trends in infrainguinal intervention practices in centers with endovascular expertise.

Main Results:

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Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg

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Endovascular treatment success rates are approaching or exceeding the patency of above-knee bypass with prosthetic grafts.

Bypass surgery is being increasingly replaced by endovascular techniques in specialized centers.

Conventional bypass surgery is declining in prevalence.

Conclusions:

Endovascular techniques are poised to replace above-knee bypass surgery in most centers within the next few years.
The progression of endovascular technology necessitates a re-evaluation of traditional surgical methods in vascular interventions.