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Distal venous arterialization for limb salvage--a case report
Antonios P Gasparis1, Sonya Noor, Monica S Da Silva
1Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA. agasparis_md@yahoo.com
Vascular and Endovascular Surgery
|December 12, 2002
Summary
Revascularizing ischemic limbs without suitable arteries is challenging. A novel distal arteriovenous fistula successfully salvaged a limb, providing perfusion for four years.
Area of Science:
- Vascular Surgery
- Limb Salvage Surgery
- Arteriovenous Fistula Creation
Background:
- Limb ischemia without suitable target arteries presents a significant surgical challenge.
- Conventional revascularization techniques are often not feasible in such cases.
- Effective reperfusion strategies are crucial for limb salvage.
Observation:
- A patient with critical limb ischemia had distal arteries unsuitable for conventional revascularization.
- Intraoperative assessment revealed no viable targets for standard bypass grafts.
- The limb presented a complex scenario requiring an alternative perfusion strategy.
Findings:
- A distal arteriovenous fistula was created using an in situ greater saphenous vein conduit.
- The fistula connected the arterialized vein to the inframalleolar superficial venous system.
- This novel approach established perfusion to the foot via the superficial venous network.
Implications:
- Successful limb salvage was achieved in a patient with previously untreatable ischemia.
- The created fistula provided sustained foot perfusion for over four years.
- This technique offers a potential solution for limb reperfusion when conventional methods fail.