Case report demonstrates successful limb salvage via sequential iliocrural bypass in extensive femoral occlusion, highlighting an effective revascularization option.
A patient who presented with total occlusion of the right common femoral artery, superficial femoral artery and popliteal artery is reported. Ilio-deep femoral and deep femoroposterior tibial bypass with an expanded polytetrafluoroethylene graft and an in situ saphenous vein graft, respectively, was successfully performed. A simple and reproducible technique for crural bypass in patients whose common and superficial femoral arteries are unavailable as inflow and outflow sites is presented.
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Saito et al. (2011) studied this question.
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