Femorofemoral bypass to relieve acute leg ischemia during intra-aortic balloon pump cardiac support

Jeffrey P. Gold, Jon Cohen, Richard J. Shemin, Verdi J. DiSesa, Nathan Couch, Lawrence H. Cohn, John J. Collins, John A. Mannick, Anthony Whittemore

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Abstract

This study reports our experience with 10 patients who underwent the emergent construction of a femorofemoral bypass graft to salvage an acutely ischemic lower extremity following the insertion of a transfemoral intra-aortic balloon pump catheter. All patients had excellent resolution of the ischemia and salvage of the extremity. Half of the procedures were done at the bedside with the remainder performed in the operating room. No long-term infections or ischemic sequelae resulted from the procedures in the nine patients available for long-term follow-up. The use of femorofemoral bypass grafting is, therefore, recommended in patients with severe ipsilateral limb ischemia who are dependent on an intra-aortic balloon pump to prevent extremity tissue loss as well as the systemic metabolic manifestations of ongoing tissue ischemia and necrosis. Patient selection, technical considerations, and postoperative management are discussed.

Original languageEnglish (US)
Pages (from-to)351-354
Number of pages4
JournalJournal of vascular surgery
Volume3
Issue number2
DOIs
StatePublished - Feb 1986

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ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Gold, J. P., Cohen, J., Shemin, R. J., DiSesa, V. J., Couch, N., Cohn, L. H., Collins, J. J., Mannick, J. A., & Whittemore, A. (1986). Femorofemoral bypass to relieve acute leg ischemia during intra-aortic balloon pump cardiac support. Journal of vascular surgery, 3(2), 351-354. https://doi.org/10.1016/0741-5214(86)90021-2