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Updated: Dec 21, 2025

Patch Angioplasty in the Rat Aorta or Inferior Vena Cava
Published on: February 27, 2017
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.
Abstract:
We present the first case of arterioplasty of the common femoral artery performed using a gastroepiploic artery (GEA) patch for a 59-year-old man on haemodialysis. He was incidentally diagnosed with coronary artery disease with left main trunk stenosis and double-vessel disease upon screening examination for peripheral artery disease. Preoperative computed tomography revealed a severely narrowed right common femoral artery. We planned a simultaneous off-pump coronary artery bypass grafting (CABG) involving the bilateral internal thoracic arteries and GEA, and endarterectomy of the right common femoral artery. Because the remnant GEA was sufficiently long and its diameter was sufficiently large, we used a GEA patch during arterioplasty to preserve the saphenous vein. This method is limited to simultaneous surgery with CABG using GEA but is a useful alternative for preserving the saphenous vein.
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