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Use of a disposable tunneller for arterial bypass to the foot
1Department of Surgery, Division of Vascular Surgery, Western Hospital and University of Melbourne, Melbourne, Victoria, Australia. barryb2@optusnet.com.au
Background:
Performance of pedal artery bypass for limb salvage is well described. A tunneller is required to place the vein graft subcutaneously, but a suitable instrument to achieve this is not always available.
Methods:
A disposable catheter passer used for ventriculo-peritoneal shunts is ideally suited to this purpose, and the technique of its use is described.
Conclusions:
Placement of the vein graft in a subcutaneous tunnel with minimal trauma is easily achieved using this instrument.

