Which Is Preferable for Chronic Limb-threatening Ischemia: Bypass versus Endovascular Therapy?
Mohammed Hamouda1, Kevin Yei1, Mahmoud B Malas1
1Division of Vascular and Endovascular Surgery, Department of Surgery, UC San Diego, La Jolla, CA, USA.
None:
Chronic limb-threatening ischemia is the most advanced stage of peripheral arterial disease and typically requires revascularization to prevent limb-loss. The choice of open surgical bypass versus endovascular therapy should be individualized based on patients' anatomy, operative risk, and conduit availability. Patients who are suitable candidates for both bypass and endovascular intervention and have an adequate single-segment great saphenous vein should undergo open surgical bypass based on level 1 evidence.
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