Background: Reporting a noval approach for recanalization of a chronically occluded bypass using balloon angioplasty. Methods: A chronically occluded distal bypass graft was managed successfully with balloon angioplasty in a diabetic patient with critically ischemic leg. Results: Successful recanalization of the chronically occluded distal bypass graft. Surveillance duplex scans up to 10 months revealed the graft to be patent with pulsatile flow. Patient fully healed. Conclusion: Balloon angioplasty of a chronically occluded distal bypass is feasible.
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