RT Book, Section A1 Ellison, E. Christopher A1 Zollinger, Jr., Robert M. A1 Pawlik, Timothy M. A1 Vaccaro, Patrick S. A1 Bitans, Marita A1 Baker, Anthony S. SR Print(0) ID 1187824489 T1 Femoropopliteal Reconstruction T2 Zollinger’s Atlas of Surgical Operations, 11e YR 2022 FD 2022 PB McGraw-Hill Education PP New York, NY SN 9781260440850 LK accesssurgery.mhmedical.com/content.aspx?aid=1187824489 RD 2024/09/08 AB Surgical bypass of the femoropopliteal segment is reserved for patients with severe claudication or impending limb loss manifested by ischemic rest pain or tissue necrosis. Often the first-line treatment is via endovascular techniques. Typically, such patients have generalized atherosclerosis and a high incidence of significant coronary artery or extracranial carotid artery occlusive disease. Multiple risk factors—including cigarette smoking, hypertension, diabetes mellitus, and hyperlipidemia—can be identified in most patients. Careful selection of candidates for operation is of utmost importance, weighing the expected benefit against the potential risk.