Karmacharya, RMShrestha, BDevbhandari, MTuladhar, SMHodde, AThermann, F2025-10-292025-10-292017https://hdl.handle.net/20.500.14572/2882Karmacharya RM,1 Shrestha B,1 Devbhandari M,1 Tuladhar SM,1 Hodde A,2 Thermann F3 1Department of Surgery (CTVS), Dhulikhel Hospital, Kathmandu University Dhulikhel, Nepal 2Department of Vascular Surgery, University Medical Center, Groningen, Holland 3Department of Vascular Surgery, Carl von Basedow Klinikum, Merseberg, GermanyABSTRACT Peripheral arterial disease is seemingly silent yet is a major pubic health problem with limb threatening and life threatening consequences. This condition can initially be asymptomatic and gradually may progress to intermittent claudication and finally to critical ischemia. When conservative management is not sufficient and there is option of surgical management, peripheral bypass surgery is an established modality of treatment of peripheral arterial disease. We present our initial cases of peripheral arterial bypass surgery all of which are technically demanding surgeries. All the cases have resulted into limb salvage until current follow-up. KEY WORDS Claudication, critical ischemia, peripheral arterial bypass, peripheral arterial diseaseen-USClaudicationcritical ischemiaperipheral arterial bypassperipheral arterial diseaseArticle