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An 83 year old lady with a significant cardiac history is admitted with rest pain and bilateral leg ulcers. Imaging demonstrates bilateral occlusion of both common iliac arteries that are unsuitable for stenting. What is the most appropriate intervention?
femoro--femoral cross over graft
axillo - bifemorl BYPASS graft
bilateral transfemoral amputation
aorto - bifemoral bypass graft
femoro - distal bypass
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