Abstract
A case of arteriosclerosis obliterans with ischemic ulcer treated by totally implanted arterial access system is described. The patient was a 96-year-old man with ischemic ulcer (Grade 4 of Fontaine's classification) in the right 2, 3, and 4th toes. Angiography revealed an obstruction of the popliteal artery and poor run off to the peripheral artery. Reconstruction by bypass grafting was not indicated and intravenous injection of LipoPGE1 was not effective. So a totally implanted arterial access system was used and LipoPGE1 was injected through the system repeatedly. Though the minimum amputation of the toe was required, perioperative peripheral circulation was sufficient and wound healing was satisfactory.
