This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Ahn, S. S. Articles by Daniels, E. Search for Related Content PubMed Articles by Ahn, S. S. Articles by Daniels, E. Social Bookmarking                   What's this?

Arterial Bypass via the Obturator Canal

Division of Vascular Surgery, Director, Endovascular Program

Eric Daniels, M.D.

Division of Vascular Surgery, UCLA School of Medicine, Los Angeles, CA

The obturator bypass was initially employed to avoid the infected groin during revascularization. In the literature, placement of over 300 obturator bypass grafts has been reported for a variety of indications, although the number of procedures performed was undoubtedly much higher. Important factors that must be considered before performing such a bypass include the proper assessment of adequate inflow, outflow, and the anatomic site of infection or other complicating circumstances. Although different surgical approaches have been advocated by several authors, the technique will ultimately be determined by patient circumstances and physician resourcefulness. A recent review of the literature showed 1- and 5-year patency rates for all indications of obturator bypass to be 71% and 60%, respectively As the procedure is generally safe, this extraanatomic bypass may be used to circumvent a variety of obstacles that preclude a standard revascularization procedure. Therefore, the technique should be included in the armamentarium of the vascular surgeon.

Key Words: Transobturator • bypass • extraanatomic

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 12, No. 2, 95-102 (2000)
DOI: 10.1177/153100350001200216


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?