A 67-year-old man with a history of metastatic lung cancer to the brain developed critical leg ischemia due to popliteal artery stent thrombosis and infra-popliteal artery occlusive disease. The patient had a left popliteal artery stent 6 years earlier at an outside facility. He underwent a mid-superficial femoral artery to mid-posterior tibial artery bypass using a translocated non-reversed greater saphenous vein with successful revascularization. The patient had cellulitis at the incision site due to methicillin-resistant Staphylococcus aureus, which responded to oral clindamycin.

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Superficial Femoral Artery–Posterior Tibial Artery Bypass for Popliteal Artery Stent Thrombosis

  • Sachinder Singh Hans

摘要

A 67-year-old man with a history of metastatic lung cancer to the brain developed critical leg ischemia due to popliteal artery stent thrombosis and infra-popliteal artery occlusive disease. The patient had a left popliteal artery stent 6 years earlier at an outside facility. He underwent a mid-superficial femoral artery to mid-posterior tibial artery bypass using a translocated non-reversed greater saphenous vein with successful revascularization. The patient had cellulitis at the incision site due to methicillin-resistant Staphylococcus aureus, which responded to oral clindamycin.