{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T16:19:39Z","timestamp":1783441179937,"version":"3.54.6"},"reference-count":40,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvascsurgcases.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vascular Surgery Cases, Innovations and Techniques"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.jvscit.2026.102157","type":"journal-article","created":{"date-parts":[[2026,1,24]],"date-time":"2026-01-24T16:23:32Z","timestamp":1769271812000},"page":"102157","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ultra-distal bypass remains a valuable option for tibial disease with tissue loss"],"prefix":"10.1016","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-1805-5585","authenticated-orcid":false,"given":"Waad","family":"Ahmed","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan Power","family":"Foley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seamus","family":"McHugh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayed","family":"Aly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Naughton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daragh","family":"Moneley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elrasheid","family":"Kheirelseid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvscit.2026.102157_bib1","doi-asserted-by":"crossref","first-page":"e1020","DOI":"10.1016\/S2214-109X(19)30255-4","article-title":"Global, regional, and national prevalence and risk factors for peripheral artery disease in 2015: an updated systematic review and analysis","volume":"7","author":"Song","year":"2019","journal-title":"Lancet Glob Health"},{"key":"10.1016\/j.jvscit.2026.102157_bib2","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1097\/00000658-200103000-00021","article-title":"Impact of increasing comorbidity on infrainguinal reconstruction: a 20-year perspective","volume":"233","author":"Conte","year":"2001","journal-title":"Ann Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib3","article-title":"Life expectancy and mortality after lower extremity amputation: overview and analysis of literature","volume":"15","author":"Qaarie","year":"2023","journal-title":"Cureus"},{"issue":"Suppl S","key":"10.1016\/j.jvscit.2026.102157_bib4","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1016\/j.jvs.2006.12.037","article-title":"Inter-society consensus for the management of peripheral arterial disease (TASC II)","volume":"45","author":"Norgren","year":"2007","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib5","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0182081","article-title":"Incidence of lower extremity amputations in the diabetic compared with the non-diabetic population: a systematic review","volume":"12","author":"Narres","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.jvscit.2026.102157_bib6","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1016\/j.jvir.2025.03.013","article-title":"The impact of chronic kidney disease on amputation and death rates in patients with peripheral artery disease in the United States","volume":"36","author":"Pourmoussa","year":"2025","journal-title":"J Vasc Interv Radiol"},{"key":"10.1016\/j.jvscit.2026.102157_bib7","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1159\/000527274","article-title":"The vascular disease of diabetic kidney disease","volume":"13","author":"Lentini","year":"2023","journal-title":"Cardiorenal Med"},{"key":"10.1016\/j.jvscit.2026.102157_bib8","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.ejvs.2006.11.022","article-title":"Vascular involvement in diabetic subjects with ischemic foot ulcer: a new morphologic categorization of disease severity","volume":"33","author":"Graziani","year":"2007","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib9","first-page":"655","article-title":"BAD transmission and SAD distribution: a new scenario for critical limb ischemia","volume":"59","author":"Ferraresi","year":"2018","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"10.1016\/j.jvscit.2026.102157_bib10","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1177\/15266028211036480","article-title":"Retrograde revascularization of tibial arteries in patients with critical limb ischemia: plantar-arch versus transpedal approach","volume":"29","author":"Stahlberg","year":"2022","journal-title":"J Endovasc Ther"},{"key":"10.1016\/j.jvscit.2026.102157_bib11","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.ejvs.2020.11.020","article-title":"Technical success and complication rates of retrograde arterial access for endovascular therapy for critical limb ischaemia: a systematic review and meta-analysis","volume":"61","author":"Giannopoulos","year":"2021","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib12","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1007\/s11886-017-0879-1","article-title":"Innovations in the endovascular management of critical limb ischemia: retrograde tibiopedal access and advanced percutaneous techniques","volume":"19","author":"Mustapha","year":"2017","journal-title":"Curr Cardiol Rep"},{"key":"10.1016\/j.jvscit.2026.102157_bib13","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.avsg.2019.04.001","article-title":"Long-term outcomes of an endovascular-first approach for diabetic patients with predominantly tibial disease treated in a multidisciplinary setting","volume":"60","author":"Hicks","year":"2019","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib14","doi-asserted-by":"crossref","first-page":"101185","DOI":"10.1016\/j.jvscit.2023.101185","article-title":"Scoping review of atherectomy and intravascular lithotripsy with or without balloon angioplasty in below-the-knee lesions","volume":"9","author":"Benfor","year":"2023","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"10.1016\/j.jvscit.2026.102157_bib15","doi-asserted-by":"crossref","first-page":"2123","DOI":"10.1016\/j.jvs.2025.07.048","article-title":"Popliteal-distal bypass versus infra-popliteal endovascular therapy for infra-popliteal occlusive disease","volume":"82","author":"Chamseddine","year":"2025","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib16","doi-asserted-by":"crossref","first-page":"1515","DOI":"10.1016\/j.jvs.2024.05.049","article-title":"Surgery or endovascular therapy for patients with chronic limb-threatening ischemia requiring infrapopliteal interventions","volume":"80","author":"Giles","year":"2024","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib17","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.jvs.2024.10.011","article-title":"Popliteal-distal bypass affords better limb salvage than tibial angioplasty for chronic limb-threatening ischemia","volume":"81","author":"Recarey","year":"2025","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib18","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1016\/j.ejvs.2019.05.006","article-title":"Global vascular guidelines on the management of chronic limb-threatening ischemia","volume":"58","author":"Conte","year":"2019","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib19","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1067\/mva.2003.125","article-title":"A decade of experience with dorsalis pedis artery bypass: analysis of outcome in more than 1000 cases","volume":"37","author":"Pomposelli","year":"2003","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib20","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1067\/mva.2001.112300","article-title":"Limb salvage after successful pedal bypass grafting is associated with improved long-term survival","volume":"33","author":"Kalra","year":"2001","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib21","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/j.avsg.2018.04.016","article-title":"Outcomes of duplex-guided paramalleolar and inframalleolar bypass in patients with critical limb ischemia","volume":"53","author":"Abualhin","year":"2018","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib22","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1053\/ejvs.2002.1735","article-title":"Pedal arterial bypass for limb salvage in patients with diabetes mellitus","volume":"24","author":"Dorweiler","year":"2002","journal-title":"Eur J Vasc Endovascular Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib23","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.ejvs.2010.08.008","article-title":"Inframalleolar bypass grafts for limb salvage","volume":"40","author":"Brochado Neto","year":"2010","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib24","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1016\/j.jclinepi.2007.11.008","article-title":"The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"61","author":"von Elm","year":"2008","journal-title":"J Clin Epidemiol"},{"key":"10.1016\/j.jvscit.2026.102157_bib25","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1177\/1358863X15597877","article-title":"An update on methods for revascularization and expansion of the TASC lesion classification to include below-the-knee arteries: a supplement to the inter-society consensus for the management of peripheral arterial disease (TASC II)","volume":"20","author":"Jaff","year":"2015","journal-title":"Vasc Med"},{"key":"10.1016\/j.jvscit.2026.102157_bib26","doi-asserted-by":"crossref","first-page":"596","DOI":"10.3400\/avd.oa.13-00059","article-title":"Evaluation of the paramalleolar bypass for critical limb ischemia patients on hemodialysis with diabetes mellitus and chronic renal failure","volume":"6","author":"Guntani","year":"2013","journal-title":"Ann Vasc Dis"},{"key":"10.1016\/j.jvscit.2026.102157_bib27","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1007\/s11845-011-0740-2","article-title":"Popliteo\u2013pedal bypass surgery for critical limb ischemia","volume":"180","author":"Good","year":"2011","journal-title":"Irish J Med Sci"},{"key":"10.1016\/j.jvscit.2026.102157_bib28","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1016\/j.jvs.2004.08.037","article-title":"Bypass to plantar and tarsal arteries: an acceptable approach to limb salvage","volume":"40","author":"Hughes","year":"2004","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib29","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.jvs.2017.10.076","article-title":"Bypass versus endovascular intervention for healing ischemic foot wounds secondary to tibial arterial disease","volume":"68","author":"Mohapatra","year":"2018","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib30","doi-asserted-by":"crossref","DOI":"10.1016\/j.ejvs.2014.08.022","article-title":"Clinical outcomes after infrainguinal bypass grafting for critical limb ischaemia in patients with dialysis-dependent end-stage renal failure","volume":"48","author":"Kodama","year":"2014","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib31","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.ijso.2020.10.017","article-title":"Short and long-term outcomes of the peripheral arterial indirect bypass in diabetic patients with chronic limb-threatening ischemia: single-center case series","volume":"27","author":"Baram","year":"2020","journal-title":"Int J Surg Open"},{"key":"10.1016\/j.jvscit.2026.102157_bib32","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1016\/j.jvs.2012.10.129","article-title":"The impact of arterial pedal arch quality and angiosome revascularization on foot tissue loss healing and infrapopliteal bypass outcome","volume":"57","author":"Rashid","year":"2013","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib33","first-page":"344","article-title":"Limb salvage in end stage renal disease: is it worthwhile?","volume":"33","author":"Sanchez","year":"1992","journal-title":"J Cardiovasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib34","doi-asserted-by":"crossref","DOI":"10.1253\/circj.CJ-16-0591","article-title":"Outcomes of critical limb ischemia in hemodialysis patients after distal bypass surgery-poor limb prognosis with stage 4 Wound, Ischemia, and Foot Infection (WIfI)","volume":"80","author":"Hoshina","year":"2016","journal-title":"Circ J"},{"key":"10.1016\/j.jvscit.2026.102157_bib35","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1016\/j.avsg.2020.03.042","article-title":"Competing risk analysis of the impact of pedal arch status and angiosome-targeted revascularization in chronic limb-threatening ischemia","volume":"68","author":"Settembre","year":"2020","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jvscit.2026.102157_bib36","doi-asserted-by":"crossref","first-page":"438","DOI":"10.23736\/S0392-9590.17.03809-3","article-title":"Pedal arch patency and not direct-angiosome revascularization predicts outcomes of endovascular interventions in diabetic patients with critical limb ischemia","volume":"36","author":"Troisi","year":"2017","journal-title":"Int Angiol"},{"key":"10.1016\/j.jvscit.2026.102157_bib37","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.jcin.2016.10.025","article-title":"Clinical outcomes of pedal artery angioplasty for patients with ischemic wounds: results from the multicenter RENDEZVOUS registry","volume":"10","author":"Nakama","year":"2017","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jvscit.2026.102157_bib38","doi-asserted-by":"crossref","first-page":"1798","DOI":"10.1016\/S0140-6736(23)00462-2","volume":"401","author":"Bradbury","year":"2023","journal-title":"Lancet"},{"key":"10.1016\/j.jvscit.2026.102157_bib39","doi-asserted-by":"crossref","first-page":"2305","DOI":"10.1056\/NEJMoa2207899","article-title":"Surgery or endovascular therapy for chronic limb-threatening ischemia","volume":"387","author":"Farber","year":"2022","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jvscit.2026.102157_bib40","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.ejvs.2023.09.041","article-title":"Editor's choice - bypass versus angioplasty for severe ischaemia of the leg (BASIL) prospective cohort study and the generalisability of the BASIL-2 randomised controlled trial","volume":"67","author":"Popplewell","year":"2024","journal-title":"Eur J Vasc Endovasc Surg"}],"container-title":["Journal of Vascular Surgery Cases, Innovations and Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2468428726000419?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2468428726000419?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T15:26:32Z","timestamp":1783437992000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2468428726000419"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":40,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S2468428726000419"],"URL":"https:\/\/doi.org\/10.1016\/j.jvscit.2026.102157","relation":{},"ISSN":["2468-4287"],"issn-type":[{"value":"2468-4287","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Ultra-distal bypass remains a valuable option for tibial disease with tissue loss","name":"articletitle","label":"Article Title"},{"value":"Journal of Vascular Surgery Cases, Innovations and Techniques","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvscit.2026.102157","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Inc. on behalf of Society for Vascular Surgery.","name":"copyright","label":"Copyright"}],"article-number":"102157"}}