| Endovascular management of acute critical ischemia secondary to blunt tibial artery injury. | |
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MedLine Citation:
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PMID: 17098549 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of acute limb-threatening ischemia from blunt traumatic tibial arterial disruption managed with endoluminal techniques. An otherwise healthy 37-year-old man involved in a motorcycle crash sustained a compound fracture of his right tibia and fibula. Arterial insufficiency developed after surgical reduction of the orthopedic injuries that warranted selective angiography of the involved extremity. This demonstrated complete occlusion of the infrageniculate circulation at the level of the ankle. Recanalization of the posterior tibial artery was achieved by using coronary balloon-expandable stents, thereby reestablishing in-line flow to the foot. Clinical and noninvasive surveillance at 2 years confirmed patency of the recanalized artery with the absence of any ischemic symptoms. Arterial reconstruction of the infrapopliteal arterial tree poses a formidable challenge in the setting of blunt trauma. Recent improvements in endovascular skills, endoluminal technology, and imaging capabilities have allowed percutaneous reconstruction of challenging arterial pathology. Endovascular treatment of blunt tibial injuries is an alternative to complex open reconstructions. These patients require close long-term postoperative surveillance because the durability of such a repair remains unknown. |
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Authors:
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Javier Alvarez-Tostado; Nirman Tulsyan; Brett Butler; Anthony Rizzo |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of vascular surgery Volume: 44 ISSN: 0741-5214 ISO Abbreviation: J. Vasc. Surg. Publication Date: 2006 Nov |
Date Detail:
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Created Date: 2006-11-13 Completed Date: 2006-11-30 Revised Date: 2012-10-03 |
Medline Journal Info:
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Nlm Unique ID: 8407742 Medline TA: J Vasc Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1101-3 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio 44124, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Traffic Acute Disease Adult Angiography Blood Vessel Prosthesis Implantation / methods* Follow-Up Studies Humans Ischemia / diagnosis, etiology, surgery* Leg / blood supply* Male Stents Tibial Arteries / injuries* Ultrasonography, Doppler, Duplex Wounds, Nonpenetrating / complications*, diagnosis, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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