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...

Full description

Saved in:
Bibliographic Details
Published inJournal of vascular surgery cases and innovative techniques Vol. 10; no. 2; p. 101413
Main Authors Koo, Donna C, Scalise, P Nina, Durgin, Jonathan M, Lee, Eliza J, Vakili, Khashayar, Kim, Heung Bae
Format Report
LanguageEnglish
Published 01.04.2024
Online AccessGet full text

Cover

More Information
Summary: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.
Bibliography:ObjectType-Case Study-2
content type line 59
SourceType-Reports-1
ObjectType-Report-1
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101413