C18: Infrainguinal Bypass—How to do it Successfully and Efficiently

Moderator(s)

• 

  Gale Tang, MD (she/her/hers)

  Associate Professor
  University of Washington
  Seattle, Washington
• 

  Matthew Menard, MD

  Associate Professor of Surgery
  Brigham and Women's Hospital
  Boston, Massachusetts

  Video Recording

Summary:To demonstrate how to properly and efficiently perform a lower extremity surgical bypass. BEST-CLI has demonstrated a significant role for infrainguinal bypass in treating chronic limb threatening ischemia. Some surgeons are reluctant to undertake surgical bypass because of limited technical training and/or experience. We hope to organize a session where detailed instruction on techniques is offered. We will ask experts to use focused videos to demonstrate technical proficiency and will include audience participation with focused questions embedded in the presentations.

Objectives:

To review the components of optimal planning and preparation for surgical bypass.

To review the operative techniques of infrainguinal surgical bypass.

To review techniques for optimizing operative efficiency and timeliness.

To review considerations, modalities and techniques of completion graft assessment.

To review consideration and timing of toe amputations.

To review peri-operative complications and their surgical management.

Presentations:

• 1:30 PM – 1:37 PM CT

  Optimal Assessment of Vein Conduit
  

  Speaker: Rebecca Scully, MD – Dartmouth Hitchcock Medical Center
• 1:37 PM – 1:44 PM CT

  Bypass with Single Segment Saphenous Vein—Reversed Approach
  

  Speaker: Erica L. Mitchell, MD – The University of Tennessee Health Science Center
• 1:44 PM – 1:51 PM CT

  Bypass with Single Segment Saphenous Vein—Non-Reversed Approach
  

  Speaker: Michael S. Conte, MD – University of California San Francisco
• 1:51 PM – 1:58 PM CT

  Bypass with Single Segment Saphenous Vein—In Situ Approach
  

  Speaker: Luc Dubois, MD, MS – Division of Vascular Surgery, University of Western Ontario, London Health Sciences Center
• 1:58 PM – 2:05 PM CT

  Bypass Using Alternative Autogenous Vein
  

  Speaker: Vincent L. Rowe, MD (he/him/his) – Division of Vascular Surgery and Endovascular Surgery at the David Geffen School of Medicine, University of Southern California, Los Angeles, CA
• 2:05 PM – 2:12 PM CT

  Bypass Using Prosthetic Conduit
  

  Speaker: Matthew T. Menard, MD – Brigham and Women's Hospital
• 2:12 PM – 2:19 PM CT

  The Impact of Previous Endo on Bypass Graft Decision Making and Outcomes
  

  Speaker: Khalil Qato, MD – Southern Illinois University School of Medicine
• 2:19 PM – 2:26 PM CT

  Redo Bypass Grafting
  

  Speaker: Thomas Reifsnyder, MD (he/him/his) – Johns Hopkins Medical Center
• 2:26 PM – 2:33 PM CT

  Operative Completion Assessment: What is the Best Way to be Sure Your Bypass is OK?
  

  Speaker: Maarit Venermo, MD, PhD (she/her/hers)
• 2:33 PM – 3:00 PM CT

  Discussion