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| Femoro-femoral cross over graft in leg ischemia |
Patients develop critical limb ischemia due to multi segmental disease or one or two segmental steno-occlusive lesions. We are now considering Endovascular therapies (angioplasty and stenting) or hybrid procedures for revascualarization of the lower limbs. Long segmental occlusions, failed iliac stenting patients ( occlusion) are occassionally considered for femoro-femoral bypass which is very useful in them. There is always a concern about the chances of infection if there is an ulcer in the foot or toes with infected groin lymphatics. The need for this operation is certainly decreased over period of time.
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