Successful Crossover Bypass Using a Lateral Femoral Circumflex Artery as an Outflow Vessel for Indirect...

Area of Science:

• Vascular Surgery
• Interventional Cardiology
• Peripheral Artery Disease

Background:

• Severe limb ischemia presents significant challenges in revascularization.
• Extensive arterial occlusion necessitates innovative surgical approaches.
• Collateral circulation plays a crucial role in maintaining limb perfusion.

Purpose of the Study:

• To describe an uncommon crossover bypass strategy for severe right limb ischemia.
• To evaluate the efficacy of indirect revascularization via the lateral femoral circumflex artery.
• To present an alternative treatment option for complex lower extremity artery occlusions.

Main Methods:

• A 78-year-old male patient with stage 3 (Fontaine IV, Rutherford 5) right limb ischemia was treated.
• A crossover bypass was performed from the left common femoral artery to the right lateral femoral circumflex artery.
• This approach aimed to enhance perfusion through well-developed collateral circulation.

Main Results:

• The crossover bypass successfully utilized the lateral femoral circumflex artery as an outflow.
• Indirect revascularization via collateral pathways improved lower extremity perfusion.
• The procedure demonstrated the feasibility of this uncommon bypass strategy.

Conclusions:

• Bypass using the lateral femoral circumflex artery is a viable option for limb salvage.
• Indirect revascularization can be effective in cases of extensive lower extremity artery occlusion.
• This surgical technique offers a valuable alternative for select patients with critical limb ischemia.