Japanese Journal of Vascular Surgery
Online ISSN : 1881-767X
Print ISSN : 0918-6778
Case Reports
Distal Venous Arterialization for Critical Limb Ischemia
Ryutaro IsodaIchiro MoritaYoko HirabayashiMasahiko KuinoseYoshio Naomoto
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2018 Volume 27 Issue 1 Pages 45-48


A 62-year-old man presented to our hospital complaining of an intractable foot ulcer. Angiography showed a disruption of the dorsalis pedis and posterior tibial arteries. Collateral circulation provided blood flow to the plantar artery. Endovascular therapy (EVT) for the occluded posterior tibial artery was unsuccessful, so a popliteal-plantar artery bypass was performed. Distal venous arterialization was chosen due to poor distal run-off preventing bypass flow immediately after declamping. Debridement and vacuum-assisted closure (VAC) for the ulcer were begun after the surgery. The foot ulcer had completely healed 6 months after the operation. DVA can be considered an option for cases with a difficult distal bypass.

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この記事はクリエイティブ・コモンズ [表示 - 非営利 - 継承 4.0 国際]ライセンスの下に提供されています。
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