A modified extra-anatomic route for revascularization of the lower extremity

Occasionally, the standard medial approach to the popliteal trifurcation and tibial vessels is unusable because of infection in the area. When urgent revascularization is required, an alternative approach must be found. This report describes such an approach, with the use of a lateral tunnel from the calf to the groin and a posterior access to the tibial vessels. This technique was used successfully in our case.