Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Impact of Insurance Status on Urgency of Presentation and Perioperative Outcomes Following Endovascular Repair of Abdominal Aortic Aneurysms: A Vascular Quality Initiative Analysis.

Journal of vascular surgery·2026

Same author

Management decisions for patients with chronic limb-threatening ischemia in 2026.

Seminars in vascular surgery·2026

Same author

Biofiltration of Bioaerosols Emitted from Organic Waste Management Facilities: A Review.

Microorganisms·2026

Same author

Long-Term Outcomes of a Drug-Eluting Resorbable Scaffold vs Angioplasty in Infrapopliteal Chronic Limb-Threatening Ischemia: 3-Year Results From the LIFE-BTK Trial.

Journal of the American College of Cardiology·2026

Same author

Carotid Artery Stenting in the Presence of Bovine Aortic Arch: A Multicentre Analysis of Procedure Outcomes and Access Modalities.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2026

Same author

Thomas J. Fogarty: Innovator, Icon, Iconoclast 25 February 1934 to 28 December 2025.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery·2026

Same journal

Re: "Contemporary Outcomes of Staged versus Primary Major Amputation for Severe Foot Infection".

Annals of vascular surgery·2026

Same journal

The Role of Large Bore Mechanical Thrombectomy Devices in Tumour Thrombus.

Annals of vascular surgery·2026

Same journal

Utility of Hand Grip Strength in Predicting Mortality Risk in Chronic Limb-Threatening Ischaemia.

Annals of vascular surgery·2026

Same journal

Precision Imaging Evaluation and Clinical Application Progress of Vascular Calcification in Lower Extremity Peripheral Artery Disease.

Annals of vascular surgery·2026

Same journal

Efficacy and Safety of Autologous Versus Prosthetic Grafts in the Repair of Popliteal Artery Aneurysms: A Systematic Review and Meta-Analysis.

Annals of vascular surgery·2026

Same journal

Prognostic Value of Frailty in Aortic Surgery: A Systematic Review and Meta-Analysis Comparing Frailty Assessment Tools.

Annals of vascular surgery·2026

See all related articles

Search research articles

Related Experiment Video

Updated: Jun 11, 2026

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

Published on: September 15, 2023

Experience with a modified composite sequential bypass technique for limb-threatening ischemia.

Nicholas J Gargiulo¹, Frank J Veith, David J O'Connor

¹Division of Vascular Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY 10467, USA.

Annals of Vascular Surgery

|July 6, 2010

Summary

This summary is machine-generated.

This study presents a modified composite sequential bypass technique for critical limb ischemia, showing promising long-term patency and limb salvage rates. The modified approach may improve outcomes when autogenous vein is limited.

More Related Videos

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity

Published on: January 31, 2025

Related Experiment Videos

Last Updated: Jun 11, 2026

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

Surgical Porcine Model of Chronic Myocardial Ischemia Treated by Exosome-laden Collagen Patch and Off-pump Coronary Artery Bypass Graft

Published on: September 15, 2023

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Postconditioning with Lactate-enriched Blood for Cardioprotection in ST-segment Elevation Myocardial Infarction

Published on: May 28, 2019

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity

Minimally Invasive Isolated Limb Perfusion (MI-ILP) for Locally Advanced Melanomas and Sarcomas of the Extremity

Published on: January 31, 2025

Area of Science:

Vascular Surgery
Reconstructive Surgery

Background:

Critical limb ischemia (CLI) management is challenging when autogenous vein is scarce.
Composite sequential bypass offers a solution for CLI with limited vein availability and isolated distal arterial segments.

Purpose of the Study:

To report a modified technique for composite sequential bypass.
To evaluate the long-term results of this modified technique over a 14-year period.

Main Methods:

Twenty-five modified composite sequential bypass procedures were performed on 24 patients with CLI.
Vein grafts were connected to distal arterial segments (popliteal, posterior tibial, anterior tibial, peroneal arteries).
Polytetrafluoroethylene grafts connected the inflow artery to the proximal vein graft.

Main Results:

Cumulative primary patency rates were 80% at 3 years and 65% at 5 years.
The limb-salvage rate was 85% at 4 years.
Successful secondary grafting was achieved in cases of prosthetic segment occlusion.

Conclusions:

The modified composite sequential bypass is a viable alternative to conventional methods.
This technique may enhance vein graft patency, particularly if the prosthetic component fails.