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 Todayjournal_title
Surgery todayauthors
Shindo S,Saka A,Kubota K,Kojima A,Ishimoto T,Iyori K,Kobayashi M,Kamiya K,Tada Ydoi
10.1007/s005950170087subject
Has Abstractpub_date
2001-01-01 00:00:00pages
754-8issue
8eissn
0941-1291issn
1436-2813pii
10.1007/s005950170087journal_volume
31pub_type
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