Arterioplasty using gastroepiploic artery patch for common femoral artery occlusive disease

Shingo Nakai1, Azumi Hamasaki1, Tetsuro Uchida1

  • 1Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.

Insights

This study details the first use of a gastroepiploic artery (GEA) patch for common femoral artery repair in a patient undergoing simultaneous coronary artery bypass grafting (CABG). This innovative technique preserves the saphenous vein, offering a valuable alternative in specific surgical scenarios.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Surgery
  • Interventional Cardiology

Background:

  • Peripheral artery disease (PAD) screening can reveal incidental coronary artery disease (CAD).
  • Common femoral artery (CFA) stenosis requires surgical intervention, often utilizing saphenous vein grafts.
  • Simultaneous procedures involving coronary artery bypass grafting (CABG) and peripheral revascularization present unique challenges.

Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
175
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
248
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
182