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Updated: Sep 17, 2025
Synergizing Antegrade Endoscopic with Bridging Vein Harvesting for Improvement of Great Saphenous Vein Graft Quality from the Lower Leg
Published on: November 19, 2019
[Distal bypass surgery using a donor vein from the first-line relative with delayed endovascular revascularization of
A I Tomchenko1, I A Khomchuk1, S A Platonov1
1St. Petersburg Dzhanelidze Research Institute for Emergency Care, St. Petersburg, Russia.
A combined treatment using a native donor small saphenous vein and endovascular method for repeated revascularization of the lower limb is described. Over the previous 2 years, the patient underwent 9 revascularizations of the right lower limb with short periods of arterial and graft patency. The patient underwent deep femoral artery-posterior tibial bypass surgery of the right lower limb with a donor vein from the first-line relative. Delayed endovascular revascularization of the lower leg and foot was performed due to distal stenoses of posterior and anterior tibial arteries to optimize outflow through the graft. After 5 months, the shunt is patent, and trophic defects healed.
A combined treatment using a native donor small saphenous vein and endovascular method for repeated revascularization of the lower limb is described. Over the previous 2 years, the patient underwent 9 revascularizations of the right lower limb with short periods of arterial and graft patency. The patient underwent deep femoral artery-posterior tibial bypass surgery of the right lower limb with a donor vein from the first-line relative. Delayed endovascular revascularization of the lower leg and foot was performed due to distal stenoses of posterior and anterior tibial arteries to optimize outflow through the graft. After 5 months, the shunt is patent, and trophic defects healed.
