Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstruction
Pediatric lower extremity arterial catheterization-related injuries can result in significant long-term morbidity. Revascularization is challenging due to concerns for long-term patency and growth accommodation with synthetic grafts. We describe a novel technique for iliofemoral revascularization us...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428723003222 |
| _version_ | 1827311173060526080 |
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| author | Donna C. Koo, MD P. Nina Scalise, MD Jonathan M. Durgin, MD Eliza J. Lee, MD Khashayar Vakili, MD Heung Bae Kim, MD |
| author_facet | Donna C. Koo, MD P. Nina Scalise, MD Jonathan M. Durgin, MD Eliza J. Lee, MD Khashayar Vakili, MD Heung Bae Kim, MD |
| author_sort | Donna C. Koo, MD |
| collection | DOAJ |
| description | Pediatric lower extremity arterial catheterization-related injuries can result in significant long-term morbidity. Revascularization is challenging due to concerns for long-term patency and growth accommodation with synthetic grafts. We describe a novel technique for iliofemoral revascularization using common iliac artery transposition and bridging polytetrafluoroethylene grafts. We treated two children who underwent femoral catheterization resulting in lifestyle-limiting claudication. Both patients experienced immediate resolution of symptoms. Postoperative imaging demonstrated widely patent vasculature. ASPIRE (autologous and synthetic pediatric iliofemoral reconstruction) is a method of pediatric iliofemoral artery revascularization that allows for an autologous artery to span the hip joint, reducing graft thrombosis risk and accommodating patient growth. |
| first_indexed | 2024-03-08T00:23:28Z |
| format | Article |
| id | doaj.art-fe2f7b4ba39e4c62bf3707dbc5b2b533 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-04-24T20:12:40Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-fe2f7b4ba39e4c62bf3707dbc5b2b5332024-03-23T06:25:36ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872024-04-01102101413Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstructionDonna C. Koo, MD0P. Nina Scalise, MD1Jonathan M. Durgin, MD2Eliza J. Lee, MD3Khashayar Vakili, MD4Heung Bae Kim, MD5Department of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, MADepartment of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, MADepartment of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, MADepartment of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, MADepartment of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, MACorrespondence: Heung Bae Kim, MD, Department of Surgery, Pediatric Transplant Center, Boston Children's Hospital, 300 Longwood Ave, Fegan 3, Boston, MA 02115; Department of Surgery, Pediatric Transplant Center, Boston Children's Hospital, Boston, MAPediatric lower extremity arterial catheterization-related injuries can result in significant long-term morbidity. Revascularization is challenging due to concerns for long-term patency and growth accommodation with synthetic grafts. We describe a novel technique for iliofemoral revascularization using common iliac artery transposition and bridging polytetrafluoroethylene grafts. We treated two children who underwent femoral catheterization resulting in lifestyle-limiting claudication. Both patients experienced immediate resolution of symptoms. Postoperative imaging demonstrated widely patent vasculature. ASPIRE (autologous and synthetic pediatric iliofemoral reconstruction) is a method of pediatric iliofemoral artery revascularization that allows for an autologous artery to span the hip joint, reducing graft thrombosis risk and accommodating patient growth.http://www.sciencedirect.com/science/article/pii/S2468428723003222Iliofemoral reconstructionNovel techniquePediatric revascularization |
| spellingShingle | Donna C. Koo, MD P. Nina Scalise, MD Jonathan M. Durgin, MD Eliza J. Lee, MD Khashayar Vakili, MD Heung Bae Kim, MD Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstruction Journal of Vascular Surgery Cases and Innovative Techniques Iliofemoral reconstruction Novel technique Pediatric revascularization |
| title | Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstruction |
| title_full | Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstruction |
| title_fullStr | Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstruction |
| title_full_unstemmed | Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstruction |
| title_short | Autologous and synthetic pediatric iliofemoral reconstruction: A novel technique for pediatric iliofemoral artery reconstruction |
| title_sort | autologous and synthetic pediatric iliofemoral reconstruction a novel technique for pediatric iliofemoral artery reconstruction |
| topic | Iliofemoral reconstruction Novel technique Pediatric revascularization |
| url | http://www.sciencedirect.com/science/article/pii/S2468428723003222 |
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