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Fem-distal Bypass Josh Wilensky
1. Preop ,[object Object],[object Object]
2. Inflow Dissection ,[object Object],[object Object],[object Object],[object Object]
Inflow Dissection
3. Outflow Dissection
3. Outflow Dissection
4. Vein Harvest ,[object Object],[object Object],[object Object],[object Object],[object Object]
5. Tunneling ,[object Object],[object Object],[object Object]
6. Heparin ,[object Object]
7. Anastomosis ,[object Object],[object Object]
8. Arteriogram ,[object Object],[object Object],[object Object]
9. Wound Closure ,[object Object],[object Object]
10. Post op ,[object Object],[object Object],[object Object]

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Fem distal bypass

Notas do Editor

  1. Double looped, heiphitz on PFA
  2. lower leg medial incision made approximately 1 cm below the medial border of the tibia . the medial head of the gastrocnemius as well as the soleus muscle are identified and retracted posteromedially
  3. The anterior tibial artery is exposed through a lateral skin incision made halfway between the lateral edge of the tibia and the fibula. The subcutaneous tissue and fascia are incised and the intramuscular septum between the tibialis anterior muscle medially and the extensor digitorum longus muscle laterally is located and incised
  4. A: Medial tunnel from common femoral artery to posterior tibial artery B: Lateral tunnel from common femoral artery to anterior tibial artery.
  5. Incorporation of distal branch