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SGW to Femoral triangle - Synthetic vs "autogenous"

meredith mcbride mmcbridemd at yahoo.com
Mon Aug 7 20:19:34 BST 2006


Likely related to suture line degeneration from occult infection.
   
  The groin itself need not be ready for extra-anatomic bypass, as the point is to completely exclude the contaminated field. A good approach would be axillary to popliteal artery bypass with concomitent excision of infected graft at the groin.

KMATTOX at aol.com wrote:
  On the cases I presented last week, one developed an arterial sentinel 
bleeding episode during dressing change, which became torential the next day. 
Arteriogram revealed a site at the proximal suture line, STENTED with 
endovascular stent which stopped the bleeding. TWO days later the same thing happened 
to the distal suture line and again a stent stopped the bleeding. NO 
further bleeding, but groin is still a mess and not ready for an extra anatomic 
bypass. 

What can we expect???
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