Percutaneous bypass graft for severe critical limb ischemia

about this presentation

75 year old male, prior right leg bypass graft from the common femoral artery to the anterior tibial artery. Bypass graft failed due to poor outflow in the anterior tibial artery. During thrombolysis the patient had a large retroperitoneal bleed. Treatment was stopped and the patient was told there were no other options. The patient came with rest pain at night, digital ulcerations, and 15 foot claudication. An initial attempt using a traditional approach to recanalization of the superficial femoral and poplieteal arteries failed. A second attempt at revascularization using the femoral and popliteal veins as a route to create a percutaneous bypass graft from the common femoral artery to the popliteal artery was successful.

More Seldinger Files

Leg & Foot UlcersPost thrombotic venous ulceration

38 year old female with severe post thrombotic syndrome and severe venous ulceration for 8 years

ClaudicationEndovascular therapy of external iliac and common femoral artery occlusion

Endovascular therapy of external iliac and common femoral artery occlusion with 31 month follow up

Pelvic Venous IncompetencePelvic Venous Congestion with Pelvic Heaviness and Urinary Frequency

36 year old with pelvic aching and heaviness, painful intercourse and urinary frequency treated with the "uncoil coil" technique