Aim: We aim to show the advantage of a specific vascular-surgical method for late revascularization in patients with acute arterial insufficiency (AAI) in whom conventional surgical approaches would not achieve the desired result and the application of an additional vascular method is required to optimize the outcome in this particular type of vascular pathology.
Methods: We present the clinical case of a polymorbid high-risk patient, with established severe ischemic brain stroke (IBS), after a previous COVID-19 infection, on artificial pulmonary ventilation, with the development of consecutive bilateral femoral arterial thrombosis during the course of treatment and operated on by means of distal arterial revision of both limbs, added to standard vascular accesses.
Results: Our experience shows that in patients undergoing late arterial revascularization, the method of choice is the application of distal vascular access aimed at restoring blood flow in the foot arteries, freeing the distal vascular bed, and improving not only short-term but also long-term life and limb survival.
Conclusion: Modern-day vascular surgeons encounter a number of obstacles in the diagnosis and treatment plan of their patients, but we think that using our individualized approach in this type of vascular pathology would lead not only to the desired surgical outcome but also to multiple successful arterial reconstructions in the future as well.
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