alexa Axillobipopliteal Bypass in the Presence of Critical Li
ISSN: 2329-6925

Journal of Vascular Medicine & Surgery
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Case Report

Axillobipopliteal Bypass in the Presence of Critical Limb-Threatening Ischemia

John Joseph Tolli*, Edward Batzel, Alison Migonis, and Evan Ruppell

Geisinger Community Medical Center, USA

*Corresponding Author:
John Joseph Tolli
Geisinger Community Medical Center
Scranton, Pennsylvania, USA
Tel: 9144944953
E-mail: [email protected]

Received Date: June 11, 2014; Accepted Date: August 14, 2014; Published Date: August 16, 2014

Citation: Tolli JJ, Batzel E, Migonis A, Ruppell E (2014) Axillobipopliteal Bypass in the Presence of Critical Limb-Threatening Ischemia. J Vasc Med Surg 2:149. doi: 10.4172/2329-6925.1000149

Copyright: © 2014 Tolli JJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

 

Abstract

Axillobipopliteal bypass is a very uncommon but sometimes necessary procedure as a final attempt at revascularization for limb salvage. We present a case of extensive bilateral arterial occlusion managed by artificial grafting, with the additional challenge of an inaccessible sub-clavian artery on the left side secondary to pacemaker implantation. The proposed staged bilateral axillopopliteal bypass was altered to supply both popliteal arteries utilizing the right sub-clavian artery alone. This procedure resulted in a restoration of blood flow, which continues to remain robust at more than three months post operatively

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