Arterial bypass

If lesions are too widespread for angioplasty, then arterial bypass may be considered. However, this is a major, sometimes lengthy, operation, and is not without risk. It is more often reserved to treat severe tissue destruction which cannot be managed without the restoration of pulsatile blood flow to the foot (see Chapter 6). However, in some patients, angioplasty may not be technically feasible and then arterial bypass should be considered if the ulcer does not respond to consevative treatment.

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