Clinical data
	•78 Years old male
	 
	•Risk factors : HBP, Diabetes type 2, former smoker, dyslipidemia.
	 
	•Medical history : ischemic heart disease with PCI, PAD with aorto bifemoral bypass, aortic valvular prothesis, chronic renal failure.
	 
	•Clinical symptoms : left lower limb intermittent claudication stage 2b
	 
	•Biological parameters : serum creatinine 21,4mg/L.
	 
	•On going treatement : aspirin, Fluindione, atenolol, atorvastatine, insulin, furosemide.
	
		Strategy
	
		1.Antegrade approach under echography
	
		2.Intra luminal or sub intimal angioplasty
	
		3.Discussion and selection of stents
	
		4.Duration of DAPT (Anticoagulant)
 
	Diagnostic images
	
	
	 
	 
	 
	 
Shooting date : 2016-07-13
Last update : 2021-06-09
 
Popeski P. .
gerson U. Could you kindly elaborate why this case was not possible to do an open bypass for?