Department of Vascular and Thoracic Surgery, Princess Paola Hospital, Marche-En-Famenne, Belgium
Case Report
Complex Lower Limb Revascularization Based on Angiosomes Concept: A Case Report
Author(s): Mircea I. Popitiu*, Mihai Ionac, Crina Solomon, Vlad Alexandrescu and Bogdan Timar
Introduction: The angiosome concept was first described in 1987, defining an angiosome as an area of tissue comprising skin, subcutaneous tissue, fascia, muscle and bone supplied by a specific artery and drained by a specific vein. We report a case of a patient who was successfully complex revascularized by open surgery and endovascular techniques based on angiosome concept.
Case presentation: A 73-years-old male patient with critical limb ischemia and type 2 diabetes, presented increasing resting pain in the lower right limb during the last 3 months, followed by necrosis of distal phalanx of I and II toes, wet interdigital necrosis of toes I-II on the right leg, with absence of distal pulses on both limbs. Direct flow into affected angiosome was successfully achieved with right proximal femoral-popliteal saphenous vein bypass and ATA balloon .. Read More»
DOI:
10.37421/2165-7920.2020.10.1375
Journal of Clinical Case Reports received 1345 citations as per Google Scholar report