Endoscopically-assisted in-situ lower limb arterial reconstruction is safe and effective: A retrospective cohort study
Sarah Klapman, Aidan M Kirkham, Johann Licht, Michael Yacob · 2026
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Description
Klapman and colleagues assess endoscopically assisted in-situ bypass surgery for limb-threatening ischemia, where arteries are too blocked for stents, in a 2026 vascular study from Ontario, Canada. The in-situ technique converts the patient's saphenous vein into the bypass without removing it, and camera assistance shrinks the incisions. The cohort covered 10 patients between 2021 and 2024 with ischemia grades, followed with ultrasound scans at 1 and 3 months and to one year after their operations.
Patients averaged 72.4 years of age, and 70 percent were men in the cohort. Amputation-free survival at one year reached 80 percent. Thirty-day mortality was zero; the single death by one year, 10.0 percent, followed a gastric cancer diagnosis unrelated to the leg surgery. Bypass openness at one year measured 66.7 percent primary patency, rising to 88.9 percent with touch-up procedures and 100 percent secondary patency after reopening. Klapman concludes the minimally invasive route is safe and effective here.
Catalog record
| CREATOR | Sarah Klapman, Aidan M Kirkham, Johann Licht, Michael Yacob |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 21 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |