New concepts in the management of ischaemic lower extremities

Experience with a new operative procedure namely arterialization of popliteal vein (APV) on 182 cases with 80% success for ischaemic lower extremity due to chronic nonspecific arterial occlusive diseases (ChNAOD) not responding to conservative methods of management currently in vogue is described. Success of this new operation saves the limbs from amputation which was done when conservative methods failed. The main purpose of this article is to write about etiology-clinical features--laboratory--and angiographic findings of this ChNAOD and APV operation. Accidental discovery of gastrocnemious muscle circulation responsible for success of APV operation is mentioned.