Journal of Vascular Medicine & Surgery

Abstract

Axillobipopliteal Bypass in the Presence of Critical Limb-Threatening Ischemia

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

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