Journal of Vascular Surgery
Volume 50, Issue 1 , Pages 83-88 , July 2009

Distal vein patch with an arteriovenous fistula: A viable option for the patient without autogenous conduit and severe distal occlusive disease

Presented at the Thirty-Second Annual Meeting of the Southern Association for Vascular Surgery, Naples, Fla, Jan 16-19, 2008.

  • Richard F. Neville, MD

      Affiliations

    • Division of Vascular Surgery, Georgetown University Hospital, Washington, DC
    • Corresponding Author InformationReprint requests: Richard F. Neville, MD, Division of Vascular Surgery, Georgetown University Hospital, 4PHC, 3800 Reservoir Rd, NW, Washington, DC 20007
    • ,
  • Benzon Dy, BS

      Affiliations

    • Georgetown University School of Medicine, Washington, DC
    • ,
  • Niten Singh, MD

      Affiliations

    • Madigan Army Medical Center, Tacoma, Wash
    • ,
  • Kent J. DeZee, MD, MPH

      Affiliations

    • VA Medical Center, Washington, DC

Received 20 August 2008 ,Accepted 21 December 2008.

  • Image Result

    A, Arteriogram shows an isolated peroneal segment as the only option for distal revascularization. B, Arteriogram from another patient shows an isolated posterior tibial segment.

    A, Arteriogram shows an isolated peroneal segment as the only option for distal revascularization. B, Arteriogram from another patient shows an isolated posterior tibial segment.

  • Image Result

    Schematic drawing shows distal arteriovenous fistula construction. A, Vascular control of paired tibial artery (A) and vein (V). B, Common ostium fistula with suture line joining the central walls of

    Schematic drawing shows distal arteriovenous fistula construction. A, Vascular control of paired tibial artery (A) and vein (V). B, Common ostium fistula with suture line joining the central walls of the two vessels.

  • Image Result
    Schematic drawing shows the distal vein patch (DVP) over the common ostium arteriovenous fistula.

    Schematic drawing shows the distal vein patch (DVP) over the common ostium arteriovenous fistula.

  • Image Result
    Schematic drawing of the polytetrafluoroethylene (PTFE) bypass with a distal vein patch and arteriovenous fistula at completion. A, Artery; V, vein.

    Schematic drawing of the polytetrafluoroethylene (PTFE) bypass with a distal vein patch and arteriovenous fistula at completion. A, Artery; V, vein.

  • Image Result
    Primary patency for distal vein patch bypass with arteriovenous fistula.

    Primary patency for distal vein patch bypass with arteriovenous fistula.

  • Image Result
    Limb salvage for patients with bypass using distal vein patch with arteriovenous fistula.

    Limb salvage for patients with bypass using distal vein patch with arteriovenous fistula.

 Competition of interest: Dr Neville is on the Speakers Bureau for W. L. Gore and Associates.

PII: S0741-5214(08)02291-X

doi: 10.1016/j.jvs.2008.12.052

Journal of Vascular Surgery
Volume 50, Issue 1 , Pages 83-88 , July 2009

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