Document Detail

A novel approach: ascending venous arterialization for atherosclerosis obliterans.
MedLine Citation:
PMID:  15570271     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Lower limb arterial occlusion with no patent distal artery suitable for revascularisation is a common problem. The aim of this study was to assess the role of revascularisation to distal veins (ascending venous arterialization) in patients not reconstructable by conventional bypass. METHOD: Ascending venous arterialization is a distal arteriovenous fistula. Reversed great saphenous vein grafts, from above the knee, were anastomosed to the common femoral artery, superficial femoral artery or popliteal artery and distally to the saphenous vein at the level of medial malleolus. No intervention was done to destroy the venous valves. The great saphenous vein was ligated below the knee. In this way, oxygenated blood could reach to dorsal venous arch and the tissues below the knee in an ascending fashion through the great saphenous vein, which was not removed. RESULTS: All of the patients recovered immediately after the operation. The lesions on the feet and on the toes of the patients improved in a short time. Intermittent claudication of the patients disappeared. Strong pulses were detected on the dorsal venous arch with manual Doppler in 3 weeks. The below knee tissues were perfused with the applied technique. CONCLUSION: Ascending venous arterialization can be applied for limb salvage to the patients who do not have a suitable arterial bed to revascularize with conventional techniques.
C Ozbek; M Kestelli; B Emrecan; I Ozsöyler; K Bayatli; H Yaşa; B Lafci; A Gürbüz
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  29     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2004-11-30     Completed Date:  2005-04-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  47-51     Citation Subset:  IM    
Department of Cardiovascular Surgery, Ataturk Education and Research Hospital, Izmir, Turkey.
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MeSH Terms
Arteriosclerosis Obliterans / surgery*
Arteriovenous Shunt, Surgical / methods*
Blood Vessel Prosthesis Implantation / methods*
Leg / blood supply*
Limb Salvage / methods*
Middle Aged
Saphenous Vein / transplantation
Treatment Outcome

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