The Descending Genicular Artery as a Recipient Vessel in Chronic Limb-Threatening Ischemia-A Case Report and Literature Review.

Abstract:

:In recent decades, the increasing complexity of arterial bypasses in the management of chronic limb-threatening ischemia has spurred the development of alternative techniques, such as revascularization of genicular arteries. Few publications on this technique can be found in the literature, and its use has been restricted to specialized vascular groups. This article describes the case of a patient with extensive femorotibial occlusive disease who received a collateral artery bypass, using the deep femoral artery as a donor, the cephalic vein as an alternative autogenous substitute, and the descending genicular artery as a recipient. Bypass to the descending genicular artery, although underutilized, is an effective option and increases the possibility of limb salvage in the management of chronic limb-threatening ischemia.

journal_name

Ann Vasc Surg

authors

Gomes Giusti JC,Neves Beraldo JP,Rossi FH,Trento AF,Barbosa de Sousa LC,Linardi Piccoli RS,Hayashi MT,Brochado Neto FC

doi

10.1016/j.avsg.2020.06.008

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

450.e23-450.e28

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(20)30509-4

journal_volume

69

pub_type

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