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Endovascular Placement of an Extraluminal Femoropopliteal Bypass Graft in Human Cadavers

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An Erratum to this article was published on 01 May 2005

Abstract

Purpose

A method to create an extraluminal femoropopliteal bypass graft using endovascular techniques was evaluated in situ on cadaver extremities in an attempt to develop a minimally invasive alternative technique for the management of infrainguinal occlusive arterial disease.

Methods

The endovascular placement of an extraluminal femoropopliteal bypass graft was undertaken in 5 cadaver legs. Following percutaneous access to the popliteal artery (PA) or common femoral artery (CFA), a Rosch-Uchida needle was used to perforate the vascular wall, followed by the creation of an extraluminal tract using a looped wire and catheter. Once the desired level was reached the needle was again used to perforate the vascular wall of the proximal superficial femoral artery (SFA) or PA depending on the access used. Self-expanding expanded polytetrafluoroethylene (ePTFE) stent-grafts were then deployed to establish the extraluminal femoropopliteal bypass connecting the two arterial puncture sites. Following dilatation of the stent-graft, angiography was performed to assess the endoprostheses and to look for contrast leaks.

Results

Technical success was achieved in all 5 legs. Procedure time varied from 15 to 30 min. The angiographic studies performed immediately after completion of the bypass procedure showed patency of the grafts with no evidence of kinking or leakage in any of the cases.

Conclusion

This study has proved that the endovascular placement of an extraluminal femoropopliteal bypass graft in human cadaver legs using endovascular techniques under fluoroscopic control is technically feasible.

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Acknowledgments

This work was supported by grants nos. 2PR03C029 from de Consejería de Educación, Ciencia y Tecnología of the Junta de Extremadura (to C.L.-S.) and G03/135 from the Instituto de Salud Carlos III (Ministerio de Sanidad y Consumo) from the Spanish Government (to V.G.-M).

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Authors and Affiliations

  1. Divisions of Vascular Surgery and Endovascular Surgery, Institute of Diagnosis and Minimally Invasive Therapy, Santa Cruz de Tenerife, Spain

    Manuel Maynar & Rafael Llorens

  2. Anatomia y Embriología Humana, Facultad de Medicina, Universidad de Extremadura, Apartado 108, 06080, Badajoz, Spain

    Carmen Lopez-Sanchez & Virginio Garcia-Martinez

  3. Division of Vascular and Interventional Radiology, Louisiana State University Health Sciences Center, 1542 Tulane Avenue, New Orleans, LA, 70112, USA

    Zhong Qian, Jorge Lopera & Wilfrido R. Castañeda

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  1. Manuel Maynar
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  2. Rafael Llorens
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  3. Carmen Lopez-Sanchez
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Correspondence to Wilfrido R. Castañeda.

Additional information

An erratum to this article can be found at https://doi.org/10.1007/s00270-005-8845-5.

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Maynar, M., Llorens, R., Lopez-Sanchez, C. et al. Endovascular Placement of an Extraluminal Femoropopliteal Bypass Graft in Human Cadavers. Cardiovasc Intervent Radiol 28, 209–214 (2005). https://doi.org/10.1007/s00270-004-4135-x

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