DUPLEX GUIDED INFRA INGUINAL INTERVENTION IN RENAL COMPRIMISE PATIENTS A NOVEL TECHNIQUE

The advent of Endovascular surgery has resulted in a dramatic shift in treatment of patients with peripheral vascular disease. The advantages are minimal invasion, no scalpel anaesthesia, early recovery, resumption of functional status and good technical success. Nevertheless, endovascular technique is associated with morbid complications such as Contrast Induced Nephropathy to the patients and Radiation hazard to the surgical team performing it. Considering these two problems, a new novel technique of total endovascular solution under Duplex Ultrasound guidance was considered. The major advantages included minimal invasion, no use of contrast, no radiation hazard, anatomic and hemodynamic assessment of technical success. Duplex ultrasound has the additional advantage of ease of availability, economy and accessibility.