Biological artificial vessel graft in distal arterial bypass for treating diabetic lower limb ischemia: a case report.
- Author:
Yong-Quan GU
1
;
Ying-Feng WU
;
Li-Xing QI
;
Lian-Ri GUO
;
Xue-Feng LI
;
Shi-Jun CUI
;
Zhu TONG
;
Jian-Ming GUO
;
Jian ZHANG
Author Information
1. Department of Vascular Surgery, Xuanwu Hospital, Institute of Vascular Surgery, Capital Medical University, Beijing 100053, China. wyf799@Hotmail.com
- Publication Type:Case Reports
- MeSH:
Aged;
Blood Vessel Prosthesis;
Diabetic Foot;
surgery;
Female;
Humans;
Ischemia;
surgery;
Leg;
blood supply
- From:
Chinese Medical Journal
2011;124(19):3185-3188
- CountryChina
- Language:English
-
Abstract:
A 68-year-old female patient was treated for unhealed ulcer in the fourth toe of the left foot. Clinical examinations identified severe stenosis of the proximal segment and occlusion of the distal segment of the left anterior tibial artery, and occlusion of the left posterior tibial artery and the peroneal artery. The proximal stenotic segment of the left anterior tibial artery was dilated, but the distal occlusive part failed to be re-canalized. Left anterior tibial artery to dorsal pedal artery bypass was performed on the patient with an epoxide-crosslinked, special radicals antigen-sealed, porcine-derived biological graft; debridement of the left 4th digiti pedis was also performed. Postoperation course was uneventful. The pulse of the left dorsal pedal artery was strong. The ankle brachial index (ABI) increased from 0.60 to 1.09. Warfarin and two antiplatelet drugs were given after the operation. Six months after operation, computed tomographic angiogram (CTA) identified the patent graft.
