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Case planning and execution of inframalleolar bypass for chronic limb-threatening ischemia

Clara M Gomez-Sanchez1, Michael S Conte1

  • 1Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA.

Journal of Vascular Surgery Cases and Innovative Techniques
|May 8, 2023
PubMed

Chronic limb-threatening ischemia is challenging to treat because of the complex patient population, heterogeneity of limb presentations, and complicated arterial pathology. To meet this challenge, vascular surgeons need a broad range of skills to appropriately tailor interventions to each patient's specific needs. One tool in the armamentarium for patients with extensive arterial occlusive disease below the knee is an inframalleolar bypass. However, these procedures require a systematic approach to surgical planning and a high degree of technical competence. We describe our approach to inframalleolar bypass for limb preservation in suitable patients with advanced tibial artery disease.

Keywords:
AmputationChronic limb-threatening ischemiaPeripheral arterial occlusive diseaseSurgical

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