Biological artificial vessel graft in distal arterial bypass for treating diabetic lower limb ischemia: a case report

A 68-year-old female patient was treated for unhealed ulcer in the fourth toe of the left foot. Clinical examinations identified severe stenosis of the proximal segment and occlusion of the distal segment of the left anterior tibial artery, and occlusion of the left posterior tibial artery and the p...

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Veröffentlicht in:Chinese medical journal 2011-10, Vol.124 (19), p.3185-3188
Hauptverfasser: Gu, Yong-Quan, Wu, Ying-Feng, Qi, Li-Xing, Guo, Lian-Ri, Li, Xue-Feng, Cui, Shi-Jun, Tong, Zhu, Guo, Jian-Ming, Zhang, Jian
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container_end_page 3188
container_issue 19
container_start_page 3185
container_title Chinese medical journal
container_volume 124
creator Gu, Yong-Quan
Wu, Ying-Feng
Qi, Li-Xing
Guo, Lian-Ri
Li, Xue-Feng
Cui, Shi-Jun
Tong, Zhu
Guo, Jian-Ming
Zhang, Jian
description A 68-year-old female patient was treated for unhealed ulcer in the fourth toe of the left foot. Clinical examinations identified severe stenosis of the proximal segment and occlusion of the distal segment of the left anterior tibial artery, and occlusion of the left posterior tibial artery and the peroneal artery. The proximal stenotic segment of the left anterior tibial artery was dilated, but the distal occlusive part failed to be re-canalized. Left anterior tibial artery to dorsal pedal artery bypass was performed on the patient with an epoxide-crosslinked, special radicals antigen-sealed, porcine-derived biological graft; debridement of the left 4th digiti pedis was also performed. Postoperation course was uneventful. The pulse of the left dorsal pedal artery was strong. The ankle brachial index (ABI) increased from 0.60 to 1.09. Warfarin and two antiplatelet drugs were given after the operation. Six months after operation, computed tomographic angiogram (CTA)identified the patent graft.
doi_str_mv 10.3760/cma.j.issn.0366-6999.2011.19.042
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Clinical examinations identified severe stenosis of the proximal segment and occlusion of the distal segment of the left anterior tibial artery, and occlusion of the left posterior tibial artery and the peroneal artery. The proximal stenotic segment of the left anterior tibial artery was dilated, but the distal occlusive part failed to be re-canalized. Left anterior tibial artery to dorsal pedal artery bypass was performed on the patient with an epoxide-crosslinked, special radicals antigen-sealed, porcine-derived biological graft; debridement of the left 4th digiti pedis was also performed. Postoperation course was uneventful. The pulse of the left dorsal pedal artery was strong. The ankle brachial index (ABI) increased from 0.60 to 1.09. Warfarin and two antiplatelet drugs were given after the operation. 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subjects Aged
Blood Vessel Prosthesis
Diabetic Foot - surgery
Female
Humans
Ischemia - surgery
Leg - blood supply
动脉
搭桥
治疗
生物
病例报告
移植
糖尿病
远端
title Biological artificial vessel graft in distal arterial bypass for treating diabetic lower limb ischemia: a case report
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