Femoropopliteal bypass using prosthetic or vein

Illustration of the distal anastomosis of a femoropopliteal bypass using an autogenous vein conduit
Figure 24.7. The distal anastomosis of a femoropopliteal bypass done with an autogenous vein conduit.

Publication details

Work type Book chapter
Citation Barshes NR. Femoropopliteal bypass using prosthetic or vein. In: Darling RC, Ozaki CK, editors. Master Techniques in Surgery: Vascular Surgery: Arterial Procedures. Philadelphia: Wolters Kluwer; 2016. p. 239-252.
Author Neal R. Barshes
Publication Master Techniques in Surgery: Vascular Surgery: Arterial Procedures
Publication date 2016
DOI No DOI assigned
PubMed identification (PMID) number No PMID assigned
Intended audience Surgeons and trainees in vascular surgery, cardiac surgery, and general surgery

Summary

This chapter provides a step-by-step guide to femoropopliteal bypass using autogenous vein or prosthetic conduit. It reviews indications and patient selection, preoperative arterial and conduit assessment, operative preparation, vein harvesting, exposure of the femoral and popliteal arteries, graft tunneling, and construction of the proximal and distal anastomoses.

Additional sections address creation of a distal vein patch when prosthetic conduit is used, intraoperative verification of graft patency, wound closure, postoperative care, and expected outcomes.

Contribution and significance

The chapter translates a complex open revascularization operation into a practical sequence of decisions and technical steps. Detailed illustrations clarify vessel exposure, graft orientation, tunneling, and anastomotic technique in ways that complement the written description.

Its comparison of autogenous vein and prosthetic options emphasizes how conduit selection, careful handling, precise graft length, and confirmation of blood flow affect bypass durability and limb-salvage outcomes.

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