Initial experience with dorsal venous arch arterialization for limb salvage.

Abstract:

:Surgical reconstruction for patients with symptomatic lower extremity arterial occlusive disease is successful when a suitable distal target vessel is present. In patients with unreconstructable disease, practical surgical options are at a minimum. We report our initial experience with dorsal venous arch arterialization (DVAA) for limb salvage. Patients with a lower extremity arteriogram and tibia/plantar artery duplex scan demonstrating unreconstructable occlusive disease were evaluated for DVAA. The venous arch valve lysis technique consisted of retrograde balloon catheter, arterial dilator disruption, and direct valvulectomy. Outcome variables included patency, limb salvage rate, and toe pressure alterations. Initial results suggest that DVAA may be a viable option for end-stage limb salvage. Application of the DVAA appears to be more suitable for patients with symptoms secondary to atherosclerosis than those with Buerger's disease.

journal_name

Ann Vasc Surg

authors

Rowe VL,Hood DB,Lipham J,Terramani T,Torres G,Katz S,Kohl R,Weaver FA

doi

10.1007/s10016-001-0148-y

subject

Has Abstract

pub_date

2002-03-01 00:00:00

pages

187-92

issue

2

eissn

0890-5096

issn

1615-5947

pii

S0890-5096(07)60149-6

journal_volume

16

pub_type

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