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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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The Journal of Cardiovascular Surgery 2000 February;41(1):109-12

lingua: Inglese

Combined long-segment angioplasty and stenting of the superficial femoral artery and popliteal-distal bypass for limb salvage

Cheng S. W. K., Ting A. C. W., Lau H.

From the Department of Surgery University of Hong Kong Medical Centre Queen Mary Hospital, Hong Kong, China


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The treat­ment of mul­tiseg­ment super­fi­cial femo­ral ­artery and tibi­al ves­sels ath­e­ros­cle­rot­ic dis­ease is tra­di­tion­al­ly a femo­ro-dis­tal ­bypass ­using in situ or ­reversed autog­e­nous ­vein. The ­improved ­result of bal­loon angio­plas­ty and stent­ing of the super­fi­cial femo­ral ­artery (SFA) has extend­ed its appli­ca­tion to ­treat ­long seg­ment SFA sten­o­sis. A com­bined endo­vas­cu­lar-­open sur­gery ­approach of SFA endo­vas­cu­lar stent­ing ­with a pop­li­teal-dis­tal ­bypass is an alter­na­tive ­less inva­sive pro­ce­dure to ­achieve opti­mum dis­tal revas­cu­lar­iza­tion for ­limb sal­vage.

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