| Dorsalis pedis, tarsal and plantar artery bypass. | |
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MedLine Citation:
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PMID: 15179332 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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B Aulivola; F B Pomposelli |
Publication Detail:
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Type: Comparative Study; Journal Article; Review |
Journal Detail:
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Title: The Journal of cardiovascular surgery Volume: 45 ISSN: 0021-9509 ISO Abbreviation: J Cardiovasc Surg (Torino) Publication Date: 2004 Jun |
Date Detail:
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Created Date: 2004-06-04 Completed Date: 2004-08-24 Revised Date: 2009-11-11 |
Medline Journal Info:
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Nlm Unique ID: 0066127 Medline TA: J Cardiovasc Surg (Torino) Country: Italy |
Other Details:
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Languages: eng Pagination: 203-12 Citation Subset: IM |
Affiliation:
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Division of Vascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Arterial Occlusive Diseases / radiography, surgery* Diabetic Angiopathies / radiography, surgery Female Foot / blood supply* Graft Survival Humans Ischemia / radiography, surgery* Limb Salvage / methods Male Middle Aged Prognosis Risk Assessment Severity of Illness Index Tibial Arteries Tissue Transplantation Treatment Outcome Vascular Patency Vascular Surgical Procedures / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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