Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 16, Number 11, November 2025, pages 440-443

Reverse Venous Arterialization Simplified Technique: A Novel Method to Correct an Inadvertently Created Femoral Artery to Peroneal Vein Bypass

Figures

Figure 1.
Figure 1. Right foot at initial presentation with new gangrene involving the third and fourth toes, a new wound on the dorsum of the foot.
Figure 2.
Figure 2. Angiography of the lower leg and foot was performed prior to the revision. The peroneal vein was arterialized by the bypass graft, with diminished blood flow to the forefoot.
Figure 3.
Figure 3. (a) Using double gunsight technique, a micropuncture needle was placed through the skin at the lower leg and through both snares. (b) Command 0.018-in floppy wire inserted in the micropuncture needle, and the needle removed. (c) Floppy wire snared from both ends establishing a tract.
Figure 4.
Figure 4. Post-revision angiography showed improved blood flow to the arterial plantar arch.