Complications - Right femoropopliteal PTFE bypass (P3) – Vascular Surgery

  1. Intraoperative complications

    Arterial dissection

    • Graft extension mandatory

    Venous bleeding

    Since the popliteal vein parallels the popliteal artery and, in addition, the epifascial veins and their side branches often encase the popliteal artery, injuries to the veins may result in troublesome bleeding.

    • Severe venous bleeding -> compression and targeted sutures
    • Prevention: careful dissection of the popliteal artery with transection of crossing veins and gentle mobilization of the large main veins; if necessary, encircle thems with vessel loops and retract them to the side

    Suture stenosis

    • Dilation, possibly revidion surgery

    Peripheral embolism

    • Embolectomy

     

Postoperative complications

Secondary bleeding, hematomaCauses: technical errors such as suture line failure; slipped off ligat

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