# Extended Endarterectomy Across the Inguinal Ligament Using Inguinal-Lifting in the Surgery for Critical Limb Ischemia

## TL;DR

A new surgical technique called inguinal-lifting is used to safely perform complex artery surgery in a patient with severe leg artery disease.

## Contribution

The inguinal-lifting technique is introduced as a novel method for safe surgical access in complex arterial disease.

## Key findings

- The inguinal-lifting technique enabled successful revascularization in a complex PAD case.
- No major wound-related complications occurred after the procedure.
- The technique minimized risks like infection and delayed healing.

## Abstract

This case report presents a case of lower extremity peripheral arterial disease (PAD) with severe calcified lesions extending from the external iliac artery to the bifurcation of the superficial femoral artery, involving the groin region. Owing to the complexity and risk of complications, such as infections and delayed wound healing, revascularization was performed with extensive endarterectomy. The inguinal-lifting technique (ILT) was used to provide safe surgical access and minimize complications. The procedure resulted in successful revascularization with no major wound-related issues. The ILT proved to be an effective approach for safe, extensive endarterectomy in complex PAD cases.