Use of a hybrid polytetrafluoroethylene stent graft for iliofemoral bypass in the setting of femoral blow-out

Revascularization in the setting of anastomotic “blow-out” in the groin is a technically demanding and morbid undertaking, often mandating transabdominal or retroperitoneal exposure of the iliac artery for proximal control or anastomosis, or both. The Gore Hybrid Vascular Graft (W. L. Gore and Associates Inc, Flagstaff, Ariz) is an expanded polytetrafluoroethylene graft with an external nitinol stent on one end designed for remote venous implantation for proximal axillary vein dialysis access outflow. We recently used this device to treat femoral anastomotic disruptions in two postoperative patients.