Surgical Bypass Versus Hybrid Approaches for Critical Limb Ischemia

Long Surgical Bypass Versus Hybrid Approaches for Management of Critical Limb Ischemia

The present randomized study proposed to compare the immediate postoperative and 2-year clinical outcomes of long surgical bypass and hybrid approaches in patients with multilevel critical lower limb ischemia.

Inclusion Criteria:

• TASC II type D femoropopliteal lesions with intact ipsilateral femoral pulse.
• Fontaine classification stage IV (gangrene or necrosis).
• Rutherford grade III and IV category 5 and 6 with salvageable foot

Exclusion Criteria:

• heart failure
• liver failure
• renal impairment