popliteal total occlusion: bypass with Distaflo!

History
A patient of chronic ischemic leg presented with right side gangrene toes. Image study showed right side popliteal artery total occlusion. Revascularization was thus indicated.
Op finding
The right side above knoww popliteal artery was explored to be severe calcified and severe diseased. Endarterectomy was done. The below knee popliteal artery was then explored.
Operation Strategy
PTA alone was note considered because of longer patency was expected. Due to the location of the total occlusion(just behind the knee joing), PTA with stentgrafting was not considered. A Distaflo (cuffed ePTFE graft was implanted as a bypass graft. You can see the cuff of the graft was nicely seated on the target vessel.