In young patients with Chronic Limb-Threatening Ischemia (CLTI) with inadequate arterial networks for revascularization. unconventional approaches can be justified before a major amputation. We report a case of a young man. with critical ischemia unsuitable for conventional revascularization interventions. https://www.spidertattooz.com/San-Jose-Sharks-Team-9SEVENTY-Trucker-Hat/