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Adjunctive Uses of the Radial Artery for Emergency Infrapopliteal Bypass in Patients Presenting With Acute Limb-Threatening Ischemia

Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Lloyd E. Leshnower, BA

Department of Surgery, Medical Center Hospital, Odessa, Texas

Alan C. Leshnower, MD

Department of Surgery, Medical Center Hospital, Odessa, Texas, leshnower{at}cableone.net

Although the radial artery has proven to be a reliable conduit for arterial bypass procedures in cardiac surgery, its use in lower extremity revascularization has been limited due to its length. In patients who have undergone multiple cardiovascular procedures, venous conduit options can be limited, and infrapopliteal bypass with prosthesis has been shown to yield poor patency rates. In this report, the authors describe 3 different uses of the radial artery in patients with acute limb-threatening ischemia in the redo setting, which resulted in limb salvage.

Key Words: acute limb ischemia • infrapopliteal bypass • radial artery

Vascular and Endovascular Surgery, Vol. 41, No. 4, 348-351 (2007)
DOI: 10.1177/1538574407299807


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