Staged vascular reconstruction along with repeatedly performed angiography to prevent ischemic limb loss with Buerger's disease: report of a case.

Abstract:

:An aggressive approach to vascular reconstruction should be adopted in patients with Buerger's disease and peripheral ischemia who are often young and otherwise active. A patient with severe Buerger's disease is reported who was treated successfully by complete vascular reconstruction with staged bypass surgery while also performing repeated angiography to preserve the foot function. A 48-year-old man with Buerger's disease presented with necrosis of the foot. Angiography showed occlusion of the right distal external iliac artery and no runoff below the knee. Repeated angiography after performing a lumbar sympathectomy demonstrated patency of the distal portion of the deep femoral artery. Angiography was again performed after a reconstruction of the deep femoral artery and patency of the anterior tibial artery was observed. A staged bypass operation on the tibial artery was therefore able to achieve a prompt healing of both the toe ulcers and plantar wound.

journal_name

Surg Today

journal_title

Surgery today

authors

Shindo S,Saka A,Kubota K,Kojima A,Ishimoto T,Iyori K,Kobayashi M,Kamiya K,Tada Y

doi

10.1007/s005950170087

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

754-8

issue

8

eissn

0941-1291

issn

1436-2813

pii

10.1007/s005950170087

journal_volume

31

pub_type

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