Reversed saphenous vein infrapopliteal bypass to treat limb-threatening ischaemia

Patients with limb-threatening ischemia from severe occlusive disease of the infrapopliteal arteries with reconstitution of a patent distal crural or pedal artery are excellent candidates for distal arterial revascularization. The source of inflow is usually the common femoral artery (CFA), but in selected patients, generally those with diabetes in whom obstructive disease is preferentially in the popliteal and tibioperoneal segments, the inflow site can be the distal superficial femoral artery (SFA) or the popliteal and tibial arteries.