The tibio-peroneal reconstruction in reocclusions after femoro-popliteal procedures

After a reocclusion of the femoro-popliteal segment with run-off problems, there is frequently still the possibility of a crural revascularisation. After an exact pre- or intra-operative angiography, there is a choice to reconstruct the tibio-peroneal trunk by autologous saphenous vein graft, composite graft and, if a vein is not available, with the PTFE prosthesis or umbilical vein.