Infrainguinal bypass of previously amputated limbs
Abstract
Below-knee amputation (BKA) is a patient's best chance at regaining ambulatory status when limb salvage is impossible. Unfortunately, up to 20% of BKAs require revision to a higher level, most commonly due to poor stump perfusion. Although inflow procedures are relatively common both before and shortly after BKA, there are no prior reports describing surgical revascularization of a previously intact BKA stump that develops chronic ischemia due to femoral-popliteal occlusive disease. This case series of four revascularized BKA stumps in three patients demonstrates that infrainguinal bypass should be considered before conversion to an above-knee amputation.
Fields of Study & Subjects
Peripheral Artery Disease Management
Vascular Procedures and Complications
Reconstructive Surgery and Microvascular Techniques
Publication details
- Journal / source
- Journal of Vascular Surgery Cases and Innovative Techniques
- Volume
- 12
- Issue
- 3
- Pages
- 102170–102170
- Publication date
- 3 February 2026
- Language
- EN