Case planning and execution of inframalleolar bypass for chronic limb-threatening ischemia

Clara M Gomez-Sanchez; Michael S Conte

doi:10.1016/j.jvscit.2023.101116

Case planning and execution of inframalleolar bypass for chronic limb-threatening ischemia

J Vasc Surg Cases Innov Tech. 2023 Mar 23;9(2):101116. doi: 10.1016/j.jvscit.2023.101116. eCollection 2023 Jun.

Authors

Clara M Gomez-Sanchez¹, Michael S Conte¹

Affiliation

¹ Division of Vascular and Endovascular Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA.

Abstract

Chronic limb-threatening ischemia is challenging to treat because of the complex patient population, heterogeneity of limb presentations, and complicated arterial pathology. To meet this challenge, vascular surgeons need a broad range of skills to appropriately tailor interventions to each patient's specific needs. One tool in the armamentarium for patients with extensive arterial occlusive disease below the knee is an inframalleolar bypass. However, these procedures require a systematic approach to surgical planning and a high degree of technical competence. We describe our approach to inframalleolar bypass for limb preservation in suitable patients with advanced tibial artery disease.

Keywords: Amputation; Chronic limb-threatening ischemia; Peripheral arterial occlusive disease; Surgical.