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Review
. 2023 Aug;103(4):767-778.
doi: 10.1016/j.suc.2023.04.014. Epub 2023 May 21.

Lower Extremity Bypass

Ajibola George Akingba  1 , Warren Bryan Chow  2 , Vincent Lopez Rowe  3
Affiliations
Review

Lower Extremity Bypass

Ajibola George Akingba et al. Surg Clin North Am. 2023 Aug.

Abstract

The original description of the lower extremity bypass (LEB) provided surgeons with a reliable method of limb revascularization. The tenets of the operation have formed the foundation for the advances of surgical care. A careful evaluation of the chronic limb-threatening ischemia patient due to the numerous comorbid conditions is paramount to obtain the best possible outcomes. Use of all adjuncts including judicious target vessels control, completion imaging, and vein harvesting techniques to ensure optimal outcomes because a functioning LEB remains a key to successful limb salvage.

Keywords: Chronic limb threatening ischemia; Graft; Great saphenous vein; Lower extremity bypass.

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