Ringed Reinforced Polytetrafluoroethylene Sheltered Saphenous Vein Graft for Femorofemoral Bypass in Critical Leg Ischemia with Limited Distal Run Off: Case Report

Femorofemoral bypass is an appropriate alternative method of treatment in patients with unilateral iliac arterial occlusive lesions when catheter-based intervention is not feasible and aorta-femoral bypass is contraindicated because of medical risk factors or previous surgical procedures. We aimed to demonstrate an alternative solution for femorofemoral bypass procedure by using an externally ringed polytetrafluoroethylene-sheltered saphenous vein graft in three patients in whom the small calibrated deep femoral arteries were their only chance for revascularization. This alternative technique could be performed in extremity salvaging operations in critical leg ischemia with limited distal run-off.