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 |
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container_title | Chinese medical journal |
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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. Six months after operation, computed tomographic angiogram (CTA)identified the patent graft.</description><identifier>ISSN: 0366-6999</identifier><identifier>EISSN: 2542-5641</identifier><identifier>DOI: 10.3760/cma.j.issn.0366-6999.2011.19.042</identifier><identifier>PMID: 22040578</identifier><language>eng</language><publisher>China: Institute of Vascular Surgery, Capital Medical University, Beijing 100053,China</publisher><subject>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</subject><ispartof>Chinese medical journal, 2011-10, Vol.124 (19), p.3185-3188</ispartof><rights>Copyright © Wanfang Data Co. Ltd. All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Uhttp://image.cqvip.com/vip1000/qk/85656X/85656X.jpg</thumbnail><link.rule.ids>314,776,780,860,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22040578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gu, Yong-Quan</creatorcontrib><creatorcontrib>Wu, Ying-Feng</creatorcontrib><creatorcontrib>Qi, Li-Xing</creatorcontrib><creatorcontrib>Guo, Lian-Ri</creatorcontrib><creatorcontrib>Li, Xue-Feng</creatorcontrib><creatorcontrib>Cui, Shi-Jun</creatorcontrib><creatorcontrib>Tong, Zhu</creatorcontrib><creatorcontrib>Guo, Jian-Ming</creatorcontrib><creatorcontrib>Zhang, Jian</creatorcontrib><title>Biological artificial vessel graft in distal arterial bypass for treating diabetic lower limb ischemia: a case report</title><title>Chinese medical journal</title><addtitle>Chinese Medical Journal</addtitle><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.</description><subject>Aged</subject><subject>Blood Vessel Prosthesis</subject><subject>Diabetic Foot - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Ischemia - surgery</subject><subject>Leg - blood supply</subject><subject>动脉</subject><subject>搭桥</subject><subject>治疗</subject><subject>生物</subject><subject>病例报告</subject><subject>移植</subject><subject>糖尿病</subject><subject>远端</subject><issn>0366-6999</issn><issn>2542-5641</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo90Etu1DAYwHELgei0cAVkNtBNgh-JHS-h4iVVYgPr6LP7OeNREk9tD6NyFM7CnbgCrqbUG1vyT378CbnkrJVasXdugXbXhpzXlkmlGmWMaQXjvOWmZZ14Qjai70TTq44_JZtHc0bOc94xJvpeq-fkTAjWsV4PG3L8EOIcp-BgppBK8MGFuvyJOeNMpwS-0LDSm5DLSWC637d3e8iZ-phoSQglrFM1YLEER-d4xETnsFgastviEuDvn98UqIOMNOE-pvKCPPMwZ3z5MF-QH58-fr_60lx_-_z16v1144TSpbFSSeuZZtxyPyjLOVo_SIBODVb1bGDOiKF-s_d80GA7jnLwdWgBBp2QF-TN6dwjrB7WadzFQ1rrjeOvrVt29-24qeUqfHuC-xRvD5jLuNTH4zzDivGQR8N4japMV-WrB3mwC96M-xQWSHfj_6gVvD4Bt43rdFvbPBpptNFKcPkPQV-LSQ</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>Gu, Yong-Quan</creator><creator>Wu, Ying-Feng</creator><creator>Qi, Li-Xing</creator><creator>Guo, Lian-Ri</creator><creator>Li, Xue-Feng</creator><creator>Cui, Shi-Jun</creator><creator>Tong, Zhu</creator><creator>Guo, Jian-Ming</creator><creator>Zhang, Jian</creator><general>Institute of Vascular Surgery, Capital Medical University, Beijing 100053,China</general><general>Department of Vascular Surgery, Xuanwu Hospital</general><scope>2RA</scope><scope>92L</scope><scope>CQIGP</scope><scope>W91</scope><scope>~WA</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>2B.</scope><scope>4A8</scope><scope>92I</scope><scope>93N</scope><scope>PSX</scope><scope>TCJ</scope></search><sort><creationdate>201110</creationdate><title>Biological artificial vessel graft in distal arterial bypass for treating diabetic lower limb ischemia: a case report</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c267t-b363bf0701b1f86b11ebf83aa468b65080c9283665f187ab41e38ffff72a9ec23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>Blood Vessel Prosthesis</topic><topic>Diabetic Foot - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Ischemia - surgery</topic><topic>Leg - blood supply</topic><topic>动脉</topic><topic>搭桥</topic><topic>治疗</topic><topic>生物</topic><topic>病例报告</topic><topic>移植</topic><topic>糖尿病</topic><topic>远端</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gu, Yong-Quan</creatorcontrib><creatorcontrib>Wu, Ying-Feng</creatorcontrib><creatorcontrib>Qi, Li-Xing</creatorcontrib><creatorcontrib>Guo, Lian-Ri</creatorcontrib><creatorcontrib>Li, Xue-Feng</creatorcontrib><creatorcontrib>Cui, Shi-Jun</creatorcontrib><creatorcontrib>Tong, Zhu</creatorcontrib><creatorcontrib>Guo, Jian-Ming</creatorcontrib><creatorcontrib>Zhang, Jian</creatorcontrib><collection>中文科技期刊数据库</collection><collection>中文科技期刊数据库-CALIS站点</collection><collection>中文科技期刊数据库-7.0平台</collection><collection>中文科技期刊数据库-医药卫生</collection><collection>中文科技期刊数据库- 镜像站点</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>Wanfang Data Journals - Hong Kong</collection><collection>WANFANG Data Centre</collection><collection>Wanfang Data Journals</collection><collection>万方数据期刊 - 香港版</collection><collection>China Online Journals (COJ)</collection><collection>China Online Journals (COJ)</collection><jtitle>Chinese medical journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gu, Yong-Quan</au><au>Wu, Ying-Feng</au><au>Qi, Li-Xing</au><au>Guo, Lian-Ri</au><au>Li, Xue-Feng</au><au>Cui, Shi-Jun</au><au>Tong, Zhu</au><au>Guo, Jian-Ming</au><au>Zhang, Jian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Biological artificial vessel graft in distal arterial bypass for treating diabetic lower limb ischemia: a case report</atitle><jtitle>Chinese medical journal</jtitle><addtitle>Chinese Medical Journal</addtitle><date>2011-10</date><risdate>2011</risdate><volume>124</volume><issue>19</issue><spage>3185</spage><epage>3188</epage><pages>3185-3188</pages><issn>0366-6999</issn><eissn>2542-5641</eissn><abstract>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.</abstract><cop>China</cop><pub>Institute of Vascular Surgery, Capital Medical University, Beijing 100053,China</pub><pmid>22040578</pmid><doi>10.3760/cma.j.issn.0366-6999.2011.19.042</doi><tpages>4</tpages></addata></record> |
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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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