Background: Chronic limb threatening lower limb ischaemia (CLTI) gives high limb loss and mortality. Infragenicular Femoro-popliteal bypass offers in-line flow to target vessels. When vein not available, composite and prosthetic grafts are used. Aim of the work: Comparing composite vs synthetic femoro-popliteal bypass conduits in treatment of CLTI. Patients and methods: 20 adult patients were included in this prospective study from July 2020 to July 2021 having CLTI requiring below knee femoro-popliteal bypass, no suitable vein conduit. Ten had composite grafts bypass (group A) and 10 patients had synthetic graft (group B), and followed for 6 months. Results: Improved clinical manifestations in both groups and significant increase of ankle brachial index. 6 months 1ry and 2ry patency were 90% and 100% in group A, and 67% and 78% in group B. Limb salvage were 100% in group A and 89% in group B. No significant difference between groups’ outcome, complications, and ABI. Conclusion: Both types of conduit showed acceptable feasibility and outcome.

Composite Grafts as an Alternative Conduit to Prosthetic Grafts in Below Knee Femoro-popliteal Bypass in Patients of Chronic Lower Limb Ischemia

There are very few data in the literature describing the occurrence of venous thrombosis in children. This raises the essential problem of late diagnosis, especially in asymptomatic or pauci-symptomatic presentations where this pathology may be unrecognized. The post-traumatic context of venous thrombosis in children, reported in a few cases, should lead to the suspicion of thrombophilia and to a clinical, biological and radiological etiological assessment. We report in our work the observation of a 14-year-old girl admitted in the context of a polytrauma with minimal mechanism in whom the lesion assessment revealed an extensive thrombosis of the inferior vena cava in the supra renal area, with a review of the literature. 

Protein C deficiency in a child with inferior vena cava thrombosis following abdominal trauma

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Composite Grafts as an Alternative Conduit to Prosthetic Grafts in Below Knee Femoro-popliteal Bypass in Patients of Chronic Lower Limb Ischemia

Protein C deficiency in a child with inferior vena cava thrombosis following abdominal trauma