• Staged proximal and distal revascularization may be required in some patients with combined aortoiliac and femoro-popliteal disease due to inadequacy of the profunda femoris artery or distal popliteal arterial disease. When these situations arise, one may expect that the procedures may be performed with very low morbidity (10% in this series) and mortality (0.0% in this series). Moreover, one may expect satisfactory results in most cases. In our series of 20 patients, 72.7% of extremities undergoing distal revascularization after previous proximal revascularization remain improved with over three years' follow-up.
(Arch Surg 113:149-152, 1978)