There is a lot of this kind of code around in the various Lisp Machine sources (CADR is legally available for poking around in[2]). Occasionally things like this pop up in contemporary Lisp compilers or IO/concurrency libraries. Some algorithms are much easier to express with goto.
If you look at code with really low-level operators like CAR, CDR, CONS, ATOM, NULL, etc then this is the assembly level of Lisp. If you look at some Lisp Machines, which had a processor with a for Lisp optimized instruction set, many of those mapped relatively direct to corresponding machine instructions - using a mostly stack machine.
The CLISP implementation of Common Lisp has a virtual machine implementation.
Unrelated to that there is also the idea to program assembler code embedded in Lisp - this is often called LAP code (Lisp Assembler Program). Several implementations are using this.
SBCL is mostly written in Common Lisp. It has a compiler that can compile itself. Part of that compiler are definitions of building blocks (VOPs or virtual operations) that describe snippets of assembly code. So as always, you use the tools provided by Lisp to create a DSL that allows you to write code as is practical for your use case.