Infrainguinal bypass grafts are traditionally routed along the medial aspect of the lower extremity. In the presence of medial scarring, open wounds, or infection, an alternative routing may be necessary in order to safely revascularize the ischemic limb. Subcutaneous lateral routing of an infrainguinal bypass graft can be a useful alternative to conventional medial routing. We review the available literature on this topic and discuss the current indications and techniques for the lateral exposure of the infrainguinal vessels, as well as the techniques and pitfalls for lateral extraanatomic routing of lower extremity infrainguinal bypass grafts.
Kwolek CJ, Pomposelli FK, Tannenbaum GA, et al. Peripheral vascular bypass in juvenile onset diabetes mellitus: are aggressive revascularization attempts justified? J Vasc Surg1992;15:394-400
2.
Pomposelli FB , Jepsen SJ, Gibbons GW, et al. Efficacy of the dorsalis pedis bypass for limb salvage in the diabetic patients: short term observations. J Vasc Surg1990; 11:745-751
3.
Rosenblatt MS , Quist WC, Sidawy AN, et al. Results of vein graft reconstruction of the lower extremity in diabetic and non diabetic patients . Surg Gynecol Obstet1990; 171:331-335
4.
Gentile AT, Lee RW, Moneta GL, Taylor LM, Edwards JM, Porter JMResults of bypass to the popliteal and tibial arteries with alternative sources of autogenous vein. J Vasc Surg1996 ;23:272-279; discussion 279-289
Andros G.Bypass grafts to the ankle and foot. A personal perspective. Surg Clin North Am1995;75:715-729
7.
Neale ML, Graham JC, Lane RJ, et al. The influence of graft type on patency of infrainguinal arterial bypass grafts. J Am Coll Surg1994;178:155-163
8.
Shah DM, Paty PS, Leather RP, Chang BB, Darling RC III, Feustel PJOptimal outcome after tibial arterial bypass. Surg Gynecol Obstet1993;177:283-287
9.
Rosenthal D. , Evans RD, McKinsey J., et al. Prosthetic above-knee femoropopliteal bypass for intermittent claudication. J Cardiovasc Surg1990;31:462-468
10.
Leather RP, Shah SM, Shang BB, Kaufman JLResurrection of the in situ saphenous vein bypass: 1000 cases later . Ann Surg1988;208:435-442
11.
Johnson BF, Singh S., Evans L., Drury R., Datta D., Beard JDA prospective study of the effect of limb-threatening ischemia and its surgical treatment on the quality of life. Eur J Vasc Endovasc Surg1997;13:306-314
12.
Duggan MM, Woodson J., Scott TE, et al. Functional outcomes in limb salvage vascular surgery. Am J Surg1996;168:188-191
13.
Nicoloff AD, Taylor LM Jr, McLafferty RB, Moneta GL, Porter JMPatient recovery after infrainguinal bypass grafting for limb salvage . J Vasc Surg1998;27:256-266
14.
O'Brien TS , Gray DR, Lamont PMLower limb ischemia in the octogenarian: is limb salvage worthwhile? Ann Roy Coll Surg Engl1993;75:445-447
15.
Baxter BT, Mesh CL, McGee GS, et al. Limb-threatening ischemia complicated by perigenicular infection . J Surg Res1993;54:163-167
16.
Hoballah JJ , Chalmers RT, Sharp WJ, et al. Lateral approach to the popliteal and crural vessels for limb salvage. Cardiovasc Surg1996;4:165-168
17.
Conte MS, Belkin M., Donaldson MC, Baum P., Mannick JA, Whittemore ADFemorotibial bypass for claudication: do results justify an aggressive approach?J Vasc Surg1995;21:873-80, discussion 880-881
18.
Paty PS, Shah DM, Saifi J., et al. Remote distal arteriovenous fistula to improve infrapopliteal bypass patency. J Vasc Surg1990;11:171-177; discussion 177-178
19.
Neville RF, Attinger C., Sidawy ANProsthetic bypass with a distal vein patch for limb salvage. Am J Surg1997;174:173-176
20.
Arfvidsson B., Lundgren F., Drott C., Scherstén, Lundholm K. Influence of Coumarin treatment on patency and limb salvage after peripheral arterial reconstructive surgery . Am J Surg1990;159:556-560
21.
Corson JC, Hoballah JJ, Kresowik TF, et al. Technical aspects and results of the open in situ saphenous vein bypass technique. Int Angiol1993-12:162-63
22.
Eslami MH, Belkin M., Mannick JA, Whittemore AD, Donaldson MCOptimal methods for autogenous bypass to the anterior tibial artery . Am J Surg1997;174:198-201
23.
Dillihunt RC , Ray FSFemoral to anterior tibial artery bypass utilizing the tibial tunnel technique. Am J Surg1974 ;7:429-433
24.
Ligtenstein DA, Jansen WB, Koning J.The transtibial route for femoral to anterior tibial artery bypass. Eur J Vasc Surg1993 ;7:733-735
25.
Valentine RJ , Blankenship CL, Wind GGThe tibial gutter: a protected route for bypass grafts to the distal anterior tibial artery. J Vasc Surg1993;10:465-467
26.
Henry AKExtensile Exposure, 2nd ed. New York: Churchill Livingstone; 1945:114-163
27.
Elkin DC, Kelly RPArteriovenous aneurysm. Ann Surg1945 ;122:529-545
28.
Jackson BBAnterior tibial artery in revascularization of the leg and foot. Am J Surg1964;107:907-910
29.
Danese CA, Singer A.Lateral approach to the trifurcation popliteal artery. Surgery1968;63:588-590
30.
Dardik H., Dardik I., Veith FJExposure of the tibial-peroneal arteries by a single lateral approach . Surgery1974;75:377-382
31.
Dardik H., Ibrahim IM, Dardik IIFemoral tibial-peroneal bypass: the lateral approach and use of glutaraldehyde-tanned umbilical vein.
32.
Padberg FT Jr.Lateral approach to the popliteal artery. Ann Vasc Surg1998;2:397-401
33.
Perry MORemote bypass grafts for managing infected popliteal artery lesions . Arch Surg1979;114:605-607
34.
Naraysingh V., Karmody AM, Leather RP, Corson JDLateral approach to the profunda femoris artery . Am J Surg1984;147:813-814
35.
Trout HH, Smith CALateral iliopopliteal arterial bypass as an alternative to obturator bypass . 1982;48:63-64
36.
Nunez AA, Veith FJ, Collier P., Ascer E., Flores SW, Gupta SKDirect approaches to the distal portions of the deep femoral artery for limb salvage. J Vasc Surg1988;8:576-581
37.
Bridges R., Gewertz BLLateral incision for exposure of femoral vessels. Surg Gynecol Obstet1980;150:733
38.
Veith FJ, Ascer E., Gupta SK, Wengerter KRLateral approach to the popliteal artery. J Vasc Surg1987;5:119-123
39.
Coggia M., Goeau-Brissonniere O., Leschi JP, Filsoufi F.Lateral approach to femoral bifurcation. Ann Vasc Surg1994;8:604-608
40.
Calligaro KD , Veith FJ, Gupta SK, et al. A modified method for management of prosthetic graft infections involving an anastomosis to the common femoral artery. J Vasc Surg1990;1:485-490
41.
Usatoff V., Grigg M.Letter to the editor: a lateral approach to the below-knee popliteal artery without resection of the fibula. J Vasc Surg1997;26:168-170
42.
Kofsky PM, Carroll SF, Morris MCThe lateral approach to the above-knee femoropopliteal bypass. Surg Gynecol Obstet1988;166:67-68
43.
Dardik H., Elias S., Miller N., et al. Medial approach to the anterior tibial artery. J Vasc Surg1985;2:743-746
44.
Gillot C.Medial approach to the anterior tibial artery. Press Med1986;21:1197-1199
45.
Sladen JG, Lougeer G., Reid JDExposure of the anterior tibial artery by medial popliteal extension. J Vasc Surg1994;19:717-721
