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Rotational flap versus long plantar flap for transmetatarsal amputation closure following revascularization.
J Vasc Surg Cases Innov Tech
April 2025
Hospital Universitário Professor Edgard Santos, Federal University of Bahia, Salvador, Bahia, Brazil.
Objective: The integrity of the plantar flap is important for transmetatarsal amputation (TMA) classic closure. However, in ischemic wounds, the plantar flap can be compromised, making the TMA coverage difficult. The aim of this study was to compare the outcomes of rotational vs long plantar flaps for transmetatarsal amputation closure in patients with dysvascular partial foot amputations.
View Article and Find Full Text PDFPredictors of Successful Antibiotic Treatment of Osteomyelitis in Diabetic Forefoot Infection.
Acta Diabetol
November 2024
Vascular Surgery Unit, El Menoufia University, Sohag, Egypt.
Background: Osteomyelitis (OM) associated with diabetic foot ulceration (DFU) is a growing public health challenge worldwide. Since 2012 the number of patients presenting with DFU per year to our centre has doubled.
Objective: This study aims to evaluate outcomes from outpatient antibiotic therapy (OPAT) in the management of OM in DFU patients.
Re-do Hybrid Deep Venous Arterialization via the Popliteal Venous System: Conversion From a Deep Venous Arterialization to a Superficial Venous Arterialization.
Vasc Endovascular Surg
October 2024
The Division of Vascular Surgery, Department of Surgery, Arrowhead Regional Medical Center, Colton, CA, USA.
Deep venous arterialization (DVA) is a final option for limb salvage in patients with end stage arterial anatomy. We report a 66-year-old dialysis dependent male with forefoot gangrene, Rutherford class 6 chronic limb ischemia, who required a redo endovascular DVA. On initial presentation an angiogram was demonstrated a desert foot with absent tibial runoff to his bilateral lower extremities.
View Article and Find Full Text PDFA novel approach to deep venous arterialization using WavelinQ EndoAVF technology.
J Vasc Surg Cases Innov Tech
June 2024
Department of Vascular and Endovascular Surgery, Flinders Medical Centre, Adelaide, SA, Australia.
Deep venous arterialization is increasingly being considered for the management of patients with "no option chronic limb threatening ischemia" (CLTI) who would otherwise require a major limb amputation. WavelinQ (Becton Dickinson) is a new technology increasing in popularity for its role in the formation of endovascular arteriovenous fistulas but might well have applications in other areas of vascular surgery. We present a novel approach to deep venous arterialization using WavelinQ arteriovenous fistula technology for a patient with nonreconstructable chronic limb threatening ischemia experiencing both rest pain and forefoot gangrene.
View Article and Find Full Text PDFThe Curious Case of the Missing Limb on FDG PET Imaging.
Clin Nucl Med
February 2024
From the Department of Nuclear Medicine and Molecular Imaging, Singapore General Hospital.
A 58-year-old woman with poorly controlled diabetes, peripheral vascular disease, and end-stage renal disease requiring hemodialysis was referred for 18 F-FDG PET/CT to evaluate for source of sepsis. She had history of prior left forefoot and right second toe amputation, as well as left lower-limb dry gangrene for which she declined surgical management. We present a case of a nonamputated lower limb demonstrating regions of absolute photopenia, consistent with dry gangrene.
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