Department of Vascular Surgery, University of Tennessee-Memphis, Mclean 38120, USA. jfernandezmd@cvsclinic.com
In the patient who can withstand the added physiologic stress of descending thoracic aortic clamping, thoracofemoral bypass may have the advantages of longer durability and increased perfusion when compared with axillobifemoral bypass. Using thorascopic techniques and a robot to perform the anastomosis, this procedure may be performed in a less invasive manner.