Conversion of Femoral-Tibial Bypass Surgery into Deep Vein Arterialization in a Patient with Severe Peripheral Artery Disease: Post-Operative Computed Tomography and Angiography Findings
نویسندگان
چکیده
Deep vein arterialization (DVA) is a therapeutic option in “no option” for revascularization chronic limb-threatening ischemia patients, creating an arteriovenous bypass between proximal artery and distal deep venous target at the ankle. Imaging plays crucial role peripheral arterial disease (PAD) patient management. We present case of 71-year-old PAD (Rutherford class 5) with focal gangrene first second toes right foot, who was admitted to vascular surgery department undergo by femoro-tibial bypass. During DVA performed because unsatisfactory target. The post-operative computed tomography angiography showed saphenous graft patency opacification foot veins. Subsequent documented presence large collateral, responsible extensive early wash-out leg vessels, which then embolized. After two months, underwent amputation necrotic level metatarsophalangeal joints. course excellent, disappearance pain rest good trophism surgical wound.
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ژورنال
عنوان ژورنال: Hearts
سال: 2023
ISSN: ['2673-3846']
DOI: https://doi.org/10.3390/hearts4010002