Key result
Live fluoroscopy guides successful passage of a bypass tunneler and graft through the obturator foramen.
Why the study?
Transobturator bypass is a technically challenging lower extremity revascularization procedure useful after multiple failed bypasses due to groin sepsis and infections.
Case Report (n=1)
Live fluoroscopy can be utilized to facilitate the passage of a bypass tunneler and graft through the obturator foramen during transobturator bypass, potentially increasing technical success rates.
Supports feasibility of fluoroscopy-guided transobturator bypass; leaves open safety and efficacy validation in larger series.
INTRODUCTION: Transobturator bypass is an older and less frequently performed revascularization of the lower extremity that is useful in the setting of multiple failed lower extremity bypasses usually due to groin sepsis and infection(s). It can be a technically challenging operation due to anatomic constraints. REPORT: We describe a successful transobturator bypass utilizing fluoroscopy for passage of bypass tunneler and graft through the obturator foramen. DISCUSSION: Live fluoroscopy is a versatile technique and in conjunction with our described surgical technique of lower extremity bypass should help increase the technical success rates of this procedure.
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Lajos et al. (2016) conducted a case report in Multiple failed lower extremity bypasses (n=1). Transobturator bypass utilizing fluoroscopy was evaluated on Successful passage of bypass tunneler and graft. Transobturator bypass utilizing live fluoroscopy was successfully performed for the passage of a bypass tunneler and graft through the obturator foramen.
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