Crossover Left Common Femoral to Right Superficial Femoral Artery Bypass Graft Using a Lateral Approach
Le QP, Lozano AM, and Hans SS. Crossover Left Common Femoral to Right Superficial Femoral Artery Bypass Graft Using a Lateral Approach. Journal of Vascular Surgery 2020; 72(1):e271.
Journal of Vascular Surgery
Background: A 62-year-old man presented in April 2019 for right lower extremity pain and paresthesia. The pain progressed to ischemic rest pain in October 2019 with an ankle-brachial index of 0.34 on the right lower extremity. Arteriography showed right external iliac artery and common femoral artery occlusions with anterior tibial artery run-off. Because of severe scarring from the patient's previous vascular reconstructions and major trauma, it was decided that a conventional approach may result in surgical site infection and exposure of the graft. In this video, we demonstrate a lateral approach for exposure of the superficial femoral artery in order to perform femoral anastomosis of the crossover femoral graft.