Retrograde Transamputation Revascularization: A Case Report

被引：1
|
作者：
Williams, Zachary F. [1 ]
Gilmore, Brian [1 ]
Weissler, Hope [1 ]
Long, Chandler [1 ]
Southerland, Kevin [1 ]
Cox, Mitchell W. [1 ]
机构：
[1] Duke Univ Hosp, Dept Surg, Durham, NC 27710 USA
来源：
ANNALS OF VASCULAR SURGERY | 2021年 / 74卷
关键词：
LOWER-EXTREMITY AMPUTATION; BELOW-KNEE AMPUTATION; RISK-FACTORS; FAILURE;
D O I：
10.1016/j.avsg.2021.02.019
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Below-knee amputation remains the most common level of amputation in patients with lower extremity gangrene and critical limb ischemia. Failure to heal, requiring additional operative debridement or conversion to an above-knee amputation remains a significant cause of patient morbidity. There remains no definitive diagnostic test that can accurately predict healing of the amputation site. We report a case utilizing a hybrid technique of retrograde transamputation revascularization via balloon angioplasty. This proximal, retrograde approach allows for relatively easy crossing and treatment of the infrainguinal chronic total occlusions (CTOs), improving arterial inflow for optimal wound healing.
引用
收藏
页码：511 / 514
页数：4
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