DEEP VEIN ARTERIALISATION

  • Vlatko Cvetanovski Private General Hospital “Remedika”, Department of surgery, Skopje, Goce Delchev University, Shtip ,North Macedonia,
  • Andreja Arsovski Private General Hospital “Remedika”, Department of surgery, Skopje, Goce Delchev University, Shtip ,North Macedonia,
  • Aleksandar Mitevski Private General Hospital “Remedika”, 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 “General Hospital Gevgelija”, 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%–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

References

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2.Santema TB, Stoekenbroek RM, van Loon J, et al. Not all patients with critical limb ischemia require revascularization. Eur J Vasc Endovasc Surg. 2017;53:371-379.
3.Cesar Roberto Busato, Carlos Alberto Lima Utrabo, Ricardo Zanetti Gomes, Eliziane Hoeldtke, Joel Kengi Housome. The great saphenous vein in situ for the arterialization of the venous arch of the foot. J Vasc Bras 2010, Vol. 9, Nº 3.
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Published
2021-03-11
How to Cite
CVETANOVSKI, Vlatko et al. DEEP VEIN ARTERIALISATION. Journal of Morphological Sciences, [S.l.], v. 4, n. 1, p. 61-64, mar. 2021. ISSN 2545-4706. Available at: <https://jms.mk/jms/article/view/193>. Date accessed: 19 may 2021.
Section
Articles