Superficial venous arterialization with the great saphenous vein in situ: a single-center experience.

IF 0.8 Q4 PERIPHERAL VASCULAR DISEASE
Jornal Vascular Brasileiro Pub Date : 2024-03-25 eCollection Date: 2024-01-01 DOI:10.1590/1677-5449.202300772
Karlene Thayane Barros da Silva, Marcos Antonio Bonacorso Manhanelli, José Francisco Moron Morad, Fábio Linardi, José Augusto Costa
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引用次数: 0

Abstract

Background: Arterialization of the dorsal venous arch of the foot is a technique indicated in cases of critical lower limb ischemia that do not have a distal bed that is adequate to enable conventional treatment such as revascularization, angioplasty, or clinical treatment.

Objectives: The purpose of this study is to present the result of arterialization of the venous arch of the foot in 16 patients who underwent treatment with this technique.

Methods: This is a cross-sectional retrospective descriptive analytical study based on a review of the medical records of 16 patients who underwent arterialization of the dorsal venous arch of the foot for limb salvage from January 2016 to January 2021.

Results: Four (25%) of the 16 patients who underwent arterialization of the venous arch of the foot underwent a major amputation during the same hospital stay and one patient (6.25%) had a major amputation within 6 months. The other 11 patients (68.75%) had their limbs preserved, with 10 undergoing minor amputations (toes and forefoot) and one patient having no additional procedures.

Conclusions: We conclude that the technique of arterialization of the dorsal venous arch of the foot should be considered in selected cases. It is a valid alternative for limb salvage when conventional treatment is impossible.

原位大隐静脉浅静脉动脉化:单中心经验。
背景:足背静脉弓动脉化是一项适用于下肢严重缺血病例的技术,这些病例的远端静脉床不足以进行血管重建、血管成形术或临床治疗等常规治疗:本研究的目的是介绍 16 名接受该技术治疗的患者足弓静脉动脉化的结果:这是一项横断面回顾性描述性分析研究,基于对2016年1月至2021年1月期间接受足背静脉弓动脉化治疗以挽救肢体的16名患者的病历回顾:在接受足背静脉弓动脉化手术的16名患者中,有4名患者(25%)在住院期间接受了大截肢手术,1名患者(6.25%)在6个月内接受了大截肢手术。其他 11 名患者(68.75%)保留了肢体,其中 10 名患者进行了轻微截肢(脚趾和前脚),一名患者没有进行其他手术:我们的结论是,在选定的病例中应考虑足背静脉弓动脉化技术。结论:我们得出结论,足背静脉弓动脉化技术应在特定病例中加以考虑,这是在无法进行常规治疗的情况下挽救肢体的有效选择。
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来源期刊
Jornal Vascular Brasileiro
Jornal Vascular Brasileiro Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.20
自引率
0.00%
发文量
57
审稿时长
20 weeks
期刊介绍: The Jornal Vascular Brasileiro is editated and published quaterly to select and disseminate high-quality scientific contents concerning original research, novel surgical and diagnostic techniques, and clinical observations in the field of vascular surgery, angiology, and endovascular surgery. Its abbreviated title is J. Vasc. Bras., which should be used in bibliographies, footnotes and bibliographical references and strips.
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