Hybrid surgical approach to graft thrombosis

doi:10.5606/tgkdc.dergisi.2015.11528

Tolga Onur Badak, Hasan Uncu, Hacı Ali Uçak, Zafer Samsa, İbrahim Özsöyler

Adana Numune Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Adana, Türkiye

DOI : 10.5606/tgkdc.dergisi.2015.11528

In this article, we present our experiences on peripheral vascular surgery following pharmacomechanical thrombectomy in a case of thrombosis in his leg, which was performed aortobifemoral bypass graft. Forty-nine-year-old male patient had a necrotic wound at his left foot little (5th) finger. Angiography revealed a blockage in the left leg of aortobifemoral bypass graft. When conventional embolectomy procedure under the spinal anesthesia failed, thrombectomy was performed with a Cleaner thrombectomy catheter. Graft was anastomosed to arteria profunda femoris and the saphenous vein harvested from the ipsilateral lower extremity was interpositioned between the graft and infragenicular popliteal artery. We believe that the hybrid surgical interventions in combination with pharmacomechanical thrombectomy are useful treatment of choices to save the graft and extremity in cases in whom conventional thrombectomy is inadequate.

Keywords : Arterial thrombosis; cleaner; graft; hybrid; thrombectomy

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