ArticleJournal of vascular surgery cases and innovative techniques2025
An unusual presentation of component separation after percutaneous transmural arterial bypass (PTAB).
Article in Journal of vascular surgery cases and innovative techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Explantation of infected DETOUR bypass and repair of associated arteriovenous fistula using Esmarch-assisted vascular isolation technique.Journal of vascular surgery cases and innovative techniques · 2026Article
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Abstract
This case report details a percutaneous transmural arterial bypass for a long (20-25 cm) occlusive lesion causing intermittent rest pain in a patient with multiple comorbid conditions. Initial lower extremity intervention was without complication; however, 1 month postoperatively, the patient presented acutely with severe rest pain, a diminished ankle-brachial index of 0.35, and a swollen extremity. Computed tomography angiography findings demonstrated component separation, which was subsequently repaired with placement of a covered stent. Symptoms immediately improved, and the patient was discharged on postoperative day one. This case report illustrates methods of managing the unusual complication of component separation, which presented as acute limb ischemia.
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