Next Article in Journal
Effect of Sodium-Glucose Cotransporter 2 Inhibitors on Clinical and Laboratory Variables in Heart Failure Patients with Reduced Left Ventricular Ejection Fraction in a Latin American Hospital: A Retrospective Study
Previous Article in Journal
Amlodipine Overdose: Is High Dose Insulin Ready for Prime Time
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Hearts
Volume 4
Issue 1
10.3390/hearts4010002
hearts-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Case Report

Conversion of Femoral-Tibial Bypass Surgery into Deep Vein Arterialization in a Patient with Severe Peripheral Artery Disease: Post-Operative Computed Tomography and Angiography Findings

by
Marco Parillo
1,2,*,
Domenico De Stefano
1,2,
Vincenzo Catanese
2,3,
Carlo Augusto Mallio
1,2,
Francesco Spinelli
2,3,
Francesco Stilo
2,3 and
Carlo Cosimo Quattrocchi
1,2
1
Unit of Diagnostic Imaging and Interventional Radiology, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
2
Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo, 200, 00128 Roma, Italy
3
Vascular Surgery Division, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo 21, 00128 Roma, Italy
*
Author to whom correspondence should be addressed.
Hearts 2023, 4(1), 12-19; https://doi.org/10.3390/hearts4010002
Submission received: 5 November 2022 / Revised: 26 December 2022 / Accepted: 5 January 2023 / Published: 9 January 2023
(This article belongs to the Special Issue Recent Advances in Peripheral Artery Disease)
Browse Figures
Versions Notes

Abstract

Deep vein arterialization (DVA) is a therapeutic option in “no option” for revascularization chronic limb-threatening ischemia patients, creating an arteriovenous bypass between a proximal artery and a distal deep venous target at the ankle. Imaging plays a crucial role in peripheral arterial disease (PAD) patient management. We present the case of a 71-year-old PAD patient (Rutherford class 5) with focal gangrene of the first and second toes of the right foot, who was admitted to the vascular surgery department to undergo revascularization surgery by femoro-tibial artery bypass. During surgery a DVA was performed because of an unsatisfactory distal artery target. The post-operative computed tomography angiography showed the saphenous graft patency and opacification of distal foot veins. Subsequent angiography documented the presence of a large venous collateral, responsible for extensive early wash-out to leg venous vessels, which was then embolized. After two months, the patient underwent amputation of the right first and second necrotic toes at the level of the metatarsophalangeal joints. The post-operative course was excellent, with disappearance of pain at rest and good trophism of the surgical wound.
Keywords: DVA; PAD; chronic limb-threatening ischemia; CLTI; no-option critical limb ischemia; imaging; treatment; peripheral artery bypass; surgical arteriovenous bypass; revascularization DVA; PAD; chronic limb-threatening ischemia; CLTI; no-option critical limb ischemia; imaging; treatment; peripheral artery bypass; surgical arteriovenous bypass; revascularization

Share and Cite

MDPI and ACS Style

Parillo, M.; De Stefano, D.; Catanese, V.; Mallio, C.A.; Spinelli, F.; Stilo, F.; Quattrocchi, C.C. Conversion of Femoral-Tibial Bypass Surgery into Deep Vein Arterialization in a Patient with Severe Peripheral Artery Disease: Post-Operative Computed Tomography and Angiography Findings. Hearts 2023, 4, 12-19. https://doi.org/10.3390/hearts4010002

AMA Style

Parillo M, De Stefano D, Catanese V, Mallio CA, Spinelli F, Stilo F, Quattrocchi CC. Conversion of Femoral-Tibial Bypass Surgery into Deep Vein Arterialization in a Patient with Severe Peripheral Artery Disease: Post-Operative Computed Tomography and Angiography Findings. Hearts. 2023; 4(1):12-19. https://doi.org/10.3390/hearts4010002

Chicago/Turabian Style

Parillo, Marco, Domenico De Stefano, Vincenzo Catanese, Carlo Augusto Mallio, Francesco Spinelli, Francesco Stilo, and Carlo Cosimo Quattrocchi. 2023. "Conversion of Femoral-Tibial Bypass Surgery into Deep Vein Arterialization in a Patient with Severe Peripheral Artery Disease: Post-Operative Computed Tomography and Angiography Findings" Hearts 4, no. 1: 12-19. https://doi.org/10.3390/hearts4010002

APA Style

Parillo, M., De Stefano, D., Catanese, V., Mallio, C. A., Spinelli, F., Stilo, F., & Quattrocchi, C. C. (2023). Conversion of Femoral-Tibial Bypass Surgery into Deep Vein Arterialization in a Patient with Severe Peripheral Artery Disease: Post-Operative Computed Tomography and Angiography Findings. Hearts, 4(1), 12-19. https://doi.org/10.3390/hearts4010002

Article Metrics

Back to TopTop