METHOD OF FEMORAL-MULTI-TIBERIC BYPASS WITH ARTERIALIZATION OF VENOUS BLOOD BLOOD OF FOOT

摘要

A method of femoral-tibial bypass with arterialization of the venous blood flow of the foot, characterized in that the distal anastomosis is formed behind the external ankle at the source of the small saphenous vein of the "end to side" type between the distal part of the reversed autologous vein and the small saphenous vein; Then, inflating the autologous vein with warm saline with heparin, subcutaneously carry out a shunt over the fibula to the anterolateral surface of the lower leg, where the anterior tibial artery is extracted through a longitudinal incision, it is opened longitudinally and the anastomosis is applied side-by-side between the autologous and anterior tibial arteries the middle third on the inner surface of the lower leg form access to the posterior tibial and fibular arteries, then perforate the interosseous membrane and bring the autologous vein to the inner overhnost tibia and then gradually formed anastomosis "side to side" autovenous shunt with fibula, and then zadnebolshebertsovoy arteries and shunt carried by the inner surface of the tibia and femur subcutaneously to the groin, and the proximal anastomosis is formed by the classical methods.