Lower Extremity Bypass

Ajibola George Akingba; Warren Bryan Chow; Vincent Lopez Rowe

doi:10.1016/j.suc.2023.04.014

Lower Extremity Bypass

Surg Clin North Am. 2023 Aug;103(4):767-778. doi: 10.1016/j.suc.2023.04.014. Epub 2023 May 21.

Authors

Ajibola George Akingba¹, Warren Bryan Chow², Vincent Lopez Rowe³

Affiliations

¹ DC VAMC, Uniformed Services University of Health Sciences, 50 Irving Street, Washington, DC 20422, USA.
² Division of Vascular Surgery and Endovascular Therapy, David Geffen School of Medicine at UCLA, 200 Peter Morton Medical Building, Suite 526, Los Angeles, CA 90095, USA.
³ Division of Vascular Surgery and Endovascular Therapy, David Geffen School of Medicine at UCLA, 200 Peter Morton Medical Building, Suite 526, Los Angeles, CA 90095, USA. Electronic address: vrowe@mednet.ucla.edu.

PMID: 37455036
DOI: 10.1016/j.suc.2023.04.014

Abstract

The original description of the lower extremity bypass (LEB) provided surgeons with a reliable method of limb revascularization. The tenets of the operation have formed the foundation for the advances of surgical care. A careful evaluation of the chronic limb-threatening ischemia patient due to the numerous comorbid conditions is paramount to obtain the best possible outcomes. Use of all adjuncts including judicious target vessels control, completion imaging, and vein harvesting techniques to ensure optimal outcomes because a functioning LEB remains a key to successful limb salvage.

Keywords: Chronic limb threatening ischemia; Graft; Great saphenous vein; Lower extremity bypass.

Publication types

Review

MeSH terms

Humans
Ischemia* / diagnosis
Ischemia* / etiology
Ischemia* / surgery
Lower Extremity / blood supply
Lower Extremity / surgery
Peripheral Arterial Disease* / surgery
Reoperation
Retrospective Studies
Risk Factors
Saphenous Vein
Treatment Outcome