Document Detail

Dorsalis pedis, tarsal and plantar artery bypass.
MedLine Citation:
PMID:  15179332     Owner:  NLM     Status:  MEDLINE    
Bypass to the dorsalis pedis, tarsal, or plantar artery is often required in efforts to salvage the ischemic lower extremity in diabetic patients. The objective of this review was to summarize the current indications, techniques, and outcomes associated with such distal revascularization procedures. A review of the literature and our own institutional experience with dorsalis pedis (n=1 032), tarsal (n=21), and plantar (n=77) bypass was performed. Bypass to the dorsalis pedis, tarsal, or plantar artery is essential in efforts for limb salvage in the ischemic limb in the absence of a more proximal bypass target option. Inframalleolar bypass can be performed with an acceptable perioperative mortality rate (<1%). Limb salvage and patency rates achieved warrant the consideration of these distal bypass procedures as an alternative to limb amputation. Careful patient selection, detailed preoperative work-up and meticulous operative technique play a crucial role in the success of these arterial reconstructions.
B Aulivola; F B Pomposelli
Publication Detail:
Type:  Comparative Study; Journal Article; Review    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  45     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:  2004 Jun 
Date Detail:
Created Date:  2004-06-04     Completed Date:  2004-08-24     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  203-12     Citation Subset:  IM    
Division of Vascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
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MeSH Terms
Arterial Occlusive Diseases / radiography,  surgery*
Diabetic Angiopathies / radiography,  surgery
Foot / blood supply*
Graft Survival
Ischemia / radiography,  surgery*
Limb Salvage / methods
Middle Aged
Risk Assessment
Severity of Illness Index
Tibial Arteries
Tissue Transplantation
Treatment Outcome
Vascular Patency
Vascular Surgical Procedures / methods*

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