Department of Vascular Surgery, Charing Cross Hospital, Imperial College NHS Trust, Imperial College London, London, United Kingdom.
J Vasc Surg. 2010 May;51(5):1297-9. doi: 10.1016/j.jvs.2009.12.045. Epub 2010 Mar 19.
We describe the case of a ruptured woven polyester common femoral-to-popliteal artery bypass graft, in which the lack of a suitable proximal landing zone precluded a totally endovascular approach to revascularization. The patient was treated with Viabahn endoprostheses (W. L. Gore & Associates, Flagstaff, Ariz), with the proximal end of the proximal Viabahn emerging from a graft arteriotomy and sutured directly end-to-side to the native common femoral artery. We believe this is the first reported case of a sutured anastomosis of the Viabahn endoprosthesis to a native vessel. The surgical technique is illustrated, and potential indications are discussed.
我们描述了一例编织聚酯股浅动脉旁路移植破裂的病例，由于缺乏合适的近端着陆区，完全血管内方法进行血运重建是不可行的。该患者接受了 Viabahn 覆膜支架（W. L. Gore & Associates，Flagstaff，Ariz）治疗，近端 Viabahn 的近端从移植物切开处穿出，并直接端对侧缝合到股总动脉。我们认为这是首例报道的将 Viabahn 覆膜支架缝合到自体血管的吻合病例。本文介绍了手术技术，并讨论了潜在的适应证。
