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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
ABOVE KNEE LESIONS NEW DEVELOPMENTS IN THE TREATMENT OF LOWER LIMB OCCLUSIVE DISEASE
The Journal of Cardiovascular Surgery 2006 August;47(4):379-83
Is above knee bypass defunct?
Meier G. H.
Eastern Virginia Medical School Vascular and Transplant Specialists, Norfolk, VA, USA
As endovascular treatments improve, the inevitable progress will result in the abandonment of conventional bypasses. First and foremost in this regard is the use of above knee bypass, particularly with prosthetic graft material. Already, endovascular success approaches or exceeds the patency seen with this bypass technique. As a result, in centers with endovascular expertise in infrainguinal intervention, bypass surgery is increasingly being replaced by these techniques and conventional bypass surgery is disappearing. Over the next few years, above knee bypass will be replaced by endovascular techniques in most centers as our results with these techniques improve.