Graft type for femoro-popliteal bypass surgery.
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ABSTRACT:
SUBMITTER: Ambler GK
PROVIDER: S-EPMC6491197 | biostudies-literature | 2018 Feb
REPOSITORIES: biostudies-literature
Publications
Graft type for femoro-popliteal bypass surgery.
Ambler Graeme K GK Twine Christopher P CP
The Cochrane database of systematic reviews 20180211
<h4>Background</h4>Femoro-popliteal bypass is implemented to save limbs that might otherwise require amputation, in patients with ischaemic rest pain or tissue loss; and to improve walking distance in patients with severe life-limiting claudication. Contemporary practice involves grafts using autologous vein, polytetrafluoroethylene (PTFE) or Dacron as a bypass conduit. This is the second update of a Cochrane review first published in 1999 and last updated in 2010.<h4>Objectives</h4>To assess th ...[more]
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Project description:PurposeTo describe superficial temporal artery graft as a new autologous tissue to reconstruct the upper lacrimal drainage system.MethodsWe explain the history of a 30-year-old female with upper lacrimal drainage system obstruction, in whom conjunctivodacryocystorhinostomy (CDCR) failed to resolve epiphora. A superficial temporal artery graft was harvested, intubated with Masterka tube, and implanted between the conjunctiva and nasal cavity. Masterka was replaced with a thicker dummy tube 12 weeks postoperatively. The adequacy of the graft was checked with irrigation tests in follow-up visits from 1 to 26 months after the procedure.ResultsSuperficial temporal artery autograft successfully eliminated epiphora of the patient in whom (CDCR) with Jones tube failed to make her symptom free.ConclusionSuperficial temporal artery autograft as an autogenous tissue with adequate characteristics can be considered in selective patients of upper lacrimal obstruction to reconstruct the lacrimal drainage system.
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