Total Arterial Revascularisation in a Patient with Previous History of Burns

Arterial grafts have higher patency rates when compared to venous grafts. Total arterial revascularisation is commonly being done nowadays and more commonly in young patients and also in patients with poor quality veins, amputated patients, patients with DVT, post burns patients in whom veins are thrombosed and in patients with non healing ulcers and infection over the legs. A variety of configurations can be made using total arterial revascularisation, using bilateral internal mammary arteries or LIMA-RIMA-Y graft or using internal mammary arteries along with radial artery.