Femorofemoral crossover bypass is a surgical arterial revascularization modality which
is commonly performed for unilateral aortoiliac occlusive disease. It is primarily
applied to patients with intermittent claudication or critical limb ischemia in whom
underlying anatomic constraints rule out endovascular means of restoring in-line flow
and those who do not qualify for anatomic reconstruction due to the comorbid conditions
that preclude a more invasive open surgical approach. This surgical procedure may
be also used as a complementary component of endovascular repair of abdominal aortic
aneurysms when one aortoiliac arterial system is occluded to ensure exclusion of the
aortic aneurysm. This review represents the current status of femorofemoral crossover
bypass surgery as an extra-anatomic bypass procedure.
Keywords
femorofemoral crossover bypass - extra-anatomic bypass surgery - overview - update