This case is about a patient who is a 71 y/o man who has had a nonhealing lateral right foot wound for more than a year. Had a right femoral below the knee bypass with native vein by a vascular surgeon who didn’t think he had any endovascular options. Both the foot wound and the surgical incision since April have not healed. On 10/2/2021 we performed interventions in which it was found that the distal segment of the bypass was almost occluded and the bypass was done to the TP trunk and not the popliteal artery. This left the AT occluded and provided no flow to the forefoot. The PT as single vessel runoff to the ankle also had several areas of severe stenosis. Bypass, PT and AT were opened in an antregrade vein bypass access and retrograde DP access. In 6 weeks the surgical wound completely healed and the foot wound decreased by more than half. Also mentions that he walks with no pain and has not needed pain medication since the evening of our intervention.
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