A Limb Saving, Intra-medullary Crural Bypass

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Presentation transcript:

A Limb Saving, Intra-medullary Crural Bypass J.A.W. Teijink EJVES Extra Volume 6, Issue 4, Pages 73-75 (October 2003) DOI: 10.1016/S1533-3167(03)00078-5

Fig. 1 A plain X-ray of the left lower leg shows marked calcification of the proximal calf muscles. The overlying skin was bone hard and not suitable for bypass surgery. EJVES Extra 2003 6, 73-75DOI: (10.1016/S1533-3167(03)00078-5)

Fig. 2 Almost complete vascular obstruction at the level of the infragenicular popliteal artery and trifurcation. EJVES Extra 2003 6, 73-75DOI: (10.1016/S1533-3167(03)00078-5)

Fig. 3 Angiogram at six months showing the reversed saphenous vein bypass entering the tibia laterally at the level of the plateau and taking an intramedullary course inside the tibia and leaving approximately 8 centimetres above the ankle joint where there is an anastomosis to the posterior tibial artery. EJVES Extra 2003 6, 73-75DOI: (10.1016/S1533-3167(03)00078-5)