Vascular
Surgeons

Vascular Surgeons

Lower Limb Salvage, successful Aorta bifemoral bypass via left retroperitoneal approach combined with regional anaesthesia.
Case

Lower Limb Salvage, successful Aorta bifemoral bypass via left retroperitoneal approach combined with regional anaesthesia.

54 years old male, Over last 2 – 3 weeks he developed on his left foot change in his temperature coolness, rest pain and blue discolouration on his left 5th toe, was admitted from A&E without evidence of bilateral femoral pulses.

Lower limb salvage after failed  Angioplasty, a Successful Femoral to Peroneal Bypass via a lateral approach with partial fibula resection.
Case

Lower limb salvage after failed Angioplasty, a Successful Femoral to Peroneal Bypass via a lateral approach with partial fibula resection.

54 years old, male, Ex-smoker, Type II Diabetes, CKD stage 3, CVA stroke disease, Hypertension, previous left trans-metatarsal amputation. Right lower limb CLTI, Rutherford 4-5, Fontaine IV, Wifi 7Right lower limb angiogram, SFA severe disease, PTA, ATA occluded, moderately long occlusion of peroneal artery with the reformation in the mid