DEEP VEIN ARTERIALISATION

Vlatko Cvetanovski; Andreja Arsovski; Aleksandar Mitevski; Marija Cvetanovska; Borislav Kondov; Zoran Dimitrov

Vlatko Cvetanovski Private General Hospital â€œRemedikaâ€, Department of surgery, Skopje, Goce Delchev University, Shtip ,North Macedonia,
Andreja Arsovski Private General Hospital â€œRemedikaâ€, Department of surgery, Skopje, Goce Delchev University, Shtip ,North Macedonia,
Aleksandar Mitevski Private General Hospital â€œRemedikaâ€, Department of surgery, Skopje, Goce Delchev University, Shtip ,North Macedonia,
Marija Cvetanovska University Clinic for infectious diseases and febrile conditions, Faculty of Medicine Skopje, Ss. Cyril and Methodius University, North Macedonia
Borislav Kondov University Clinic for thoracic and vascular surgery, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, North Macedonia
Zoran Dimitrov Public Healthcare Institution â€œGeneral Hospital Gevgelijaâ€, Department of surgery, Gevgelija,North Macedonia

Abstract

Critical lower limb ischemia in the absence of distal arterial circulation presents an urgent situation, which must be treated immediately if we want to save the foot or limb from amputation. According to Fountain these patients are classified in Class III or in Class IV. Approximately 14%â€“20% of patients with critical lower limb ischemia are unsuited for distal arterial reconstruction and face major distal amputation. Some patients with critical limb or foot ischemia will achieve wound healing with conservative therapy, it is impossible to predict who these patients will be, and it is therefore recommended that revascularization remains an important first-line treatment. We present our first clinical case of arterialization of deep posterior tibial vein in treatment of critical ischemia of the foot. Arterialization of the veins in properly selected patients can prevent major amputation in patients with critical limb ischemia where no other treatment option could be performed.

Key words: arterialization of vein, deep vein, deep vein arterialization, critical limb ischemia

https://doi.org/10.55302/JMS2141061c

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