Heroic procedures in vascular injury management: the role of extra-anatomic bypasses

Surg Clin North Am. 2002 Feb;82(1):115-24. doi: 10.1016/S0039-6109(03)00144-0.


The insertion of an extra-anatomic bypass graft is an accepted operative technique in highly selected patients with atherosclerotic occlusive disease and contraindications to in situ grafting. In similar fashion, the technique should be considered in injured or septic patients with large soft tissue defects or wound infections overlying arterial repairs or involving native arteries. The combination of vigorous débridement of injured or infected soft tissue and insertion of an extra-anatomic bypass graft allows for appropriate care of the wound without concern for further injury to the now-displaced arterial repair.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Arm Injuries / diagnosis
  • Arm Injuries / surgery*
  • Arteries / injuries*
  • Arteries / surgery
  • Blood Vessel Prosthesis Implantation*
  • Humans
  • Leg Injuries / diagnosis
  • Leg Injuries / surgery*
  • Male
  • Middle Aged
  • Prognosis
  • Reoperation
  • Soft Tissue Injuries / diagnosis
  • Soft Tissue Injuries / surgery*
  • Substance Abuse, Intravenous / complications
  • Substance Abuse, Intravenous / surgery
  • Veins / injuries*
  • Veins / surgery
  • Wound Infection / diagnosis
  • Wound Infection / surgery*
  • Wounds, Gunshot / diagnosis
  • Wounds, Gunshot / surgery