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Updated: Jun 13, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
[The outcome of femoropopliteal bypass]
Hiroshi Narita1, Kimihiro Komori
1Division of Vascular Surgery, Department of Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Abstract:
In the last decade, the therapeutic strategy for patients with peripheral arterial disease (PAD) changed markedly after endovascular treatment as well as a surgical approach was introduced. In particular, endovascular treatment of iliac occlusive disease is an established treatment modality, although the treatment of infrainguinal lesions remains controversial. The Trans-Atlantic Inter-Society Consensus (TASC) II document of 2007 recommended endovascular treatment in patients with TASC II types A and B lesions and surgical bypass in patients with TASC II types C and D lesions. In this paper, we describe the procedure for and outcome of surgical bypass in PAD patients with infrainguinal occlusive disease compared with those of endovascular treatment.
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