Abstract
In most bypasses performed for occlusive disease, the proximal and distal anastomoses are constructed in an end-to-side fashion. Such a configuration allows for constructing the proximal anastomosis in the least diseased area of the inflow vessel while maintaining the original circulation. The distal anastomosis is constructed distal to any occlusive pathology and provides both antegrade and retrograde blood flow. The revascularization provided by the end-to-side configuration protects the limb from ischemia between the proximal and distal anastomoses. This condition, often referred to as “interval ischemia,” is more likely to occur when both anastomoses are constructed using an end-to-end configuration. This chapters covers the various techniques for constructing an end to side anastomosis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Hoballah JJ, Mohan CR, Chalmers RTA, Schueppert MT, Sharp WJ, Kresowik TF, Corson JD. Does the geometry of a distal anastomosis affect patency? Vasc Surg. 1996;30(5):371.
Kirklin JW, Barratt-Boyes BG. Ischemic heart disease. In: Cardiac Surgery. 2nd ed. New York: Churchill-Livingstone; 1993. p. 309.
Rutherford RB. Atlas of vascular surgery: basic techniques and exposures. Philadelphia: Saunders; 1993. p. 48–9.
Sotturai VS, Batson RC. Use of nonreversed, translocated saphenous vein graft. In: Bergan JJ, Yao JST, editors. Techniques in arterial surgery. Philadelphia: Saunders; 1990. p. 184–91.
Taylor LM, Porter JM. Technique of reversed vein bypass to distal leg arteries. In: Bergan JJ, Yao JST, editors. Techniques in arterial surgery. Philadelphia: Saunders; 1990. p. 109–21.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Science+Business Media, LLC, part of Springer Nature
About this chapter
Cite this chapter
Hoballah, J.J. (2021). End-to-Side Anastomosis. In: Hoballah, J.J., Bechara, C.F. (eds) Vascular Reconstructions. Springer, New York, NY. https://doi.org/10.1007/978-1-0716-1089-3_9
Download citation
DOI: https://doi.org/10.1007/978-1-0716-1089-3_9
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-0716-1087-9
Online ISBN: 978-1-0716-1089-3
eBook Packages: MedicineMedicine (R0)