Critical limb ischemia (CLI) associated with lower extremity complex wounds is challenging for vascular and plastic surgeons. Despite a high risk of perioperative morbidity, complex reconstructive surgery in these patients is an alternative to primary major limb amputation. We present a patient with CLI and a complex foot wound treated with simultaneous femoro-popliteal arterial bypass and free flap for lower limb salvage. The 13-year follow-up showed good functional results.
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Aim - analyze the results of surgical treatment of patients with diabetes mellitus (DM) with chronic critical lower limb ischemia (CCLLI) against the background of the combined stenotic-occlusive lesions (SOL) of the femoral arterial segment (FAS) and popliteo-tibial arterial segment (PTAS), considering the data of the intraoperative debitometry (ID). The results of surgical treatment of 97 patients with diabetes mellitus with CCLLI caused by combined SOL of FAS and PTAS arteries after 1 month and 12 months of treatment were analyzed. All patients were treated at the Vascular Surgery Center of the Clinical Hospital "Feofania" of State Directorate for Affairs, Kiev, Ukraine during 2014 - 2018yrs.
View Article and Find Full Text PDFSimultaneous femoro-popliteal artery bypass and foot free flap for lower limb salvage: a 13-year follow-up.
J Int Med Res
May 2021
Department of Plastic Surgery, Emergency District Hospital, Cluj-Napoca, Romania.
Critical limb ischemia (CLI) associated with lower extremity complex wounds is challenging for vascular and plastic surgeons. Despite a high risk of perioperative morbidity, complex reconstructive surgery in these patients is an alternative to primary major limb amputation. We present a patient with CLI and a complex foot wound treated with simultaneous femoro-popliteal arterial bypass and free flap for lower limb salvage.
View Article and Find Full Text PDFSingle staged hybrid approach for multilevel aortic-iliac-femoral-popliteal disease.
Int J Surg Case Rep
September 2020
Vascular Surgery Unit - AOUP Policlinico 'P. Giaccone', Palermo, Italy; Department of Surgical, Oncological and Oral Sciences, University of Palermo, Italy.
Article Synopsis
- Multilevel peripheral arterial disease (MPAD) leads to critical limb ischemia (CLI) and often requires vascular interventions to improve blood flow and prevent amputations.
- A case report details a successful hybrid revascularization procedure in a patient with advanced MPAD affecting multiple vascular segments, which included endovascular stenting and surgical bypass in one operation.
- Hybrid techniques, combining surgical and endovascular approaches, have shown high efficacy and safety, resulting in reduced hospital stays and favorable outcomes for treating both MPAD and renal artery stenosis.
Validation of digital ankle-brachial index as a screening tool in symptomatic patients with peripheral arterial disease.
Cardiovasc Revasc Med
March 2019
Einstein Medical Center, Philadelphia, PA, USA. Electronic address:
Introduction: There is scarcity of data validating portable digital ankle-brachial index (ABI) with contrast angiography in peripheral arterial disease (PAD). Our aim was to provide an objective analysis of the relationship between digital ABI (dABI) and peripheral angiographic data.
Methods: Consecutive patients with symptoms of PAD between May 2014 to May 2015 at Einstein Medical Center, Philadelphia, who were undergoing simultaneous dABI and peripheral angiography, were evaluated.
Accuracy of pre-interventional computed tomography angiography post-processing software and extravascularly calibrated devices to determine vessel diameters: comparison with an intravascularly located calibrated catheter.
Acta Radiol
July 2018
1 Clinic for Radiology and Nuclear Medicine, University Hospital of Schleswig Holstein, Campus Lübeck, Lübeck, Germany.
Background Accurate vessel sizing might affect treatment outcome of endovascular therapy. Purpose To compare accuracy of peripheral vessel diameter measurements using pre-interventional computed tomography angiography post processing software (CTA-PPS) and extravascularly located calibrated devices used during digital subtraction angiography (DSA) with an intravascular scaled catheter (SC). Material and Methods In 33 patients (28 men, mean age = 72 ± 11 years) a SC was used during DSA of the femoro-popliteal territory.
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