Extra-anatomic bypass

Evan C. Lipsitz, Karan Garg

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

An extra-anatomic bypass is the creation of a bypass whose pathway is normally devoid of a major arterial segment. Unlike conventional bypasses, the donor vessel is generally remote from and in line with the recipient vessel. These bypasses are commonly employed when a less physiologically stressful procedure is desirable in patients with limb ischemia with significant medical comorbidities, or in order to avoid working in an infected, or otherwise hostile, operative field. In the peripheral circulation, the most frequently performed configurations are the axillofemoral bypass and femorofemoral bypass. These configurations are most commonly used to revascularize occlusive atherosclerotic disease affecting the aortoiliac and femoral arteries. Other configurations, performed less frequently, include the obturator bypass and thoracofemoral bypass.

Original languageEnglish (US)
Title of host publicationVascular Surgery
Subtitle of host publicationPrinciples and Practice, Fourth Edition
PublisherCRC Press
Pages301-309
Number of pages9
ISBN (Electronic)9781482239461
ISBN (Print)9781498780469
DOIs
StatePublished - Jan 1 2017

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Lipsitz, E. C., & Garg, K. (2017). Extra-anatomic bypass. In Vascular Surgery: Principles and Practice, Fourth Edition (pp. 301-309). CRC Press. https://doi.org/10.1201/9781315381770