Femoral-Peroneal Bypass for Severe Calcific Disease Using Tourniquet Occlusion

A patient with ischemic ulcer in the foot underwent femoral to peroneal in situ bypass with severe calcific occlusive disease using tourniquet occlusion. Postoperative arteriogram showed patent bypass with small residual arteriovenous fistula with faint filling of the deep vein. Management of residual arteriovenous fistula is described.