Document Detail


Endovascular management of acute critical ischemia secondary to blunt tibial artery injury.
MedLine Citation:
PMID:  17098549     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Javier Alvarez-Tostado; Nirman Tulsyan; Brett Butler; Anthony Rizzo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  44     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2006 Nov 
Date Detail:
Created Date:  2006-11-13     Completed Date:  2006-11-30     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1101-3     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio 44124, USA.
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MeSH Terms
Descriptor/Qualifier:
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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