{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T01:41:41Z","timestamp":1792719701506,"version":"4.5.0"},"reference-count":16,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. vasc. bras."],"abstract":"<jats:p>Resumo Nas \u00faltimas d\u00e9cadas, observou-se o aumento expressivo do tratamento endovascular para a doen\u00e7a oclusiva aortoil\u00edaca. Muitos benef\u00edcios foram demonstrados, principalmente nas les\u00f5es arteriais n\u00e3o complexas do eixo il\u00edaco; por\u00e9m, ainda existe dificuldade na obten\u00e7\u00e3o de resultados adequados a m\u00e9dio e longo prazo quando falamos de doen\u00e7as oclusivas extensas. As deriva\u00e7\u00f5es arteriais para art\u00e9rias vicariantes alternativas do complexo femoro-genicular para salvamento de membro s\u00e3o bem conhecidas na literatura em casos desfavor\u00e1veis para cirurgias convencionais ou endovasculares. Descrevemos o caso de um paciente portador de doen\u00e7a oclusiva aortoil\u00edaca extensa tratado com deriva\u00e7\u00e3o arterial no territ\u00f3rio il\u00edaco-femoral, utilizando substituto aut\u00f3geno alternativo e a art\u00e9ria descendente femoral lateral como art\u00e9ria receptora. Deriva\u00e7\u00f5es e substitutos alternativos, utilizados normalmente em casos de exce\u00e7\u00e3o, podem e devem fazer parte do arsenal terap\u00eautico vascular, podendo contribuir nos casos em que a cirurgia endovascular ainda n\u00e3o nos permite alcan\u00e7ar bons resultados.<\/jats:p>","DOI":"10.1590\/1677-5449.180083","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T19:36:07Z","timestamp":1561577767000},"source":"Crossref","is-referenced-by-count":3,"title":["Revasculariza\u00e7\u00e3o il\u00edaco-femoral alternativa em doen\u00e7a oclusiva aortoil\u00edaca extensa"],"prefix":"10.1590","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7346-4936","authenticated-orcid":false,"given":"J\u00falio C\u00e9sar Gomes","family":"Giusti","sequence":"first","affiliation":[{"name":"Hospital Municipal Carmino Caricchio,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janderson 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