Abstract
Background Femorodistal vein bypass is regarded as gold standard for the treatment of limb threatening ischemia. Initially the procedure has been reported using saphenous vein (Rev Chir 70:206–35, 1951), mainly due to the lack of adequate vascular substitutes. Later vascular grafts have become available, and the enthusiasm to use autologous vein has faded, especially in difficult situations with no saphenous vein, although it is known that vein grafts perform superior to alloplastic vascular grafts.
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