Hybrid femoral-to-above-knee popliteal bypass with popliteal relining for complex femoropopliteal occlusive disease
Qinghua Pu, Logan Stone, Sirui Pu, Mahmoud Almadani, Alexander Shiferson, Albertina Sebastian, Robert Rhee · 2026
Read Hybrid femoral-to-above-knee popliteal bypass with popliteal relining for complex femoropopliteal occlusive disease by Qinghua Pu, Logan Stone, Sirui Pu, Mahmoud Almadani, Alexander Shiferson, Albertina Sebastian, Robert Rhee (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13400230.txt.
Description
Pu and team report, in 2026, a hybrid bypass for complex femoropopliteal occlusive disease in patients who lack usable vein for a conventional graft. Their approach relines the above-knee popliteal artery from inside, using balloon angioplasty and a covered stent graft to build an outflow segment. A surgical bypass then runs from the femoral artery to that segment, avoiding a below-knee prosthetic graft with its poor record.
Three patients with chronic limb-threatening ischemia and failed interventions received the hybrid procedure. Operations took about three hours with mean blood loss of 300 milliliters, and technical success came in every case without perioperative complications or death. All three achieved limb salvage and symptom relief, with grafts patent for at least two years and one patient followed beyond three years. Popliteal arteries in the series were often under 5 millimeters, against a smallest 6-millimeter prosthetic graft, motivating the relining strategy.
Catalog record
| CREATOR | Qinghua Pu, Logan Stone, Sirui Pu, Mahmoud Almadani, Alexander Shiferson, Albertina Sebastian, Robert Rhee |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 25 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |