Intimal tears and dissections, vessel perforation
- Cause: usually too aggressive approach during the maneuver using ring stripper
- Clinical presentation: persistent ischemia
- mandatory: intraoperative angiography to check the flow path
- Rupture of the pelvic flow path -> prosthetic replacement
- Rupture of the patch in the groin with artery of too small caliber -> prosthetic interposition; profunda femoris artery unexpectedly not suitable for anastomosis -> femoro-popliteal bypass to PI, II or III
- Prophylaxis: perform ring stripper maneuver carefully and with sensitivity