Vena saphena magna in situ arterializacija gebstint koją: atvejo aprašymas

Vlatko Cvetanovski,Liljana Stojanovska,Zoran Dimitrov,Marija Cvetanovska,Andreja Arsovski

doi:10.15388/lietchirur.2018.1-2.11740

Abstract

[straipsnis ir santrauka anglų kalba]

Highlights

ConclusionDistal revascularization of the limb with critical ischemia, by creating a reverse ow with in situ saphenous vein arterialization must be seriously considered as an attempt for salvage of the foot or below-knee without distal arterial run-o
In critical ischemia without arterial run-off, one of the treatment options to enable revascularization is to turn the course of the flow reversely through the venous system to treat rest pain, to promote healing of the ulcers or to salvage the limb from amputation [2].Atherosclerosis obliterans (AO), especially associated with diabetes mellitus, thromboangiitis obliterans (TO) in most cases, and popliteal artery aneurysms with distal bed thrombosis are conditions that justify the indication of this procedure [2].We present a case when we use distal venous arterialization as a unique procedure in urgent treatment of critical ischemia of lower limb in which the venous bed is used as an alternative conduit for perfusion of peripheral tissues
Distal revascularization of the limb with critical ischemia, by creating a reverse ow with in situ saphenous vein arterialization must be seriously considered as an attempt for salvage of the foot or below-knee without distal arterial run-o

Summary

Conclusion

Decision for performing arterialization of great saphenous vein for limb salvation in patients with critical ischemia should be considered as necessary and adequate option for treatment in patient when other techniques will not provide good postoperative results. Small number of performed procedure of venous arterialization in literature does not have impact on making conclusions with strong recommendations. Every performed procedure should obtain adequate follow up of the patient in order to measure the results from operative procedure and to collect necessary information in order to improve the technique and to share information on global level. Arterialization of the venous system of the foot should be considered as first choice for salvage of the limbs where the absence of distal arterial bed leads to critical ischemia

Introduction

Discussion