Novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia

A 68-year-old man with chronic limb-threatening ischemia caused by atypical vasculitis was successfully treated by the combination of pedal arch angioplasty and dual distal bypass. Angioplasty alone failed; therefore, we performed pedal arch angioplasty followed by distal bypass revascularized to th...

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Detalles Bibliográficos
Autores principales: Yamamoto, Nobuko, Komai, Hiroyoshi, Sakashita, Hideki, Miyama, Noriyuki, Kawasaki, Daizo, Fukunaga, Masashi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Innovative technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10149387/
https://www.ncbi.nlm.nih.gov/pubmed/37139351
http://dx.doi.org/10.1016/j.jvscit.2023.101138
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author Yamamoto, Nobuko
Komai, Hiroyoshi
Sakashita, Hideki
Miyama, Noriyuki
Kawasaki, Daizo
Fukunaga, Masashi
author_facet Yamamoto, Nobuko
Komai, Hiroyoshi
Sakashita, Hideki
Miyama, Noriyuki
Kawasaki, Daizo
Fukunaga, Masashi
author_sort Yamamoto, Nobuko
collection PubMed
description A 68-year-old man with chronic limb-threatening ischemia caused by atypical vasculitis was successfully treated by the combination of pedal arch angioplasty and dual distal bypass. Angioplasty alone failed; therefore, we performed pedal arch angioplasty followed by distal bypass revascularized to the newly created dorsalis pedis artery and posterior tibial artery anastomosis sites. Restenosis occurred twice, and both cases were successfully treated by immediate angioplasty. Both branches of the graft remained patent for >2.5 years, and the wound healed completely. This unique combination of techniques can provide favorable results for selected patients with chronic limb-threatening ischemia.
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spelling pubmed-101493872023-05-02 Novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia Yamamoto, Nobuko Komai, Hiroyoshi Sakashita, Hideki Miyama, Noriyuki Kawasaki, Daizo Fukunaga, Masashi J Vasc Surg Cases Innov Tech Innovative technique A 68-year-old man with chronic limb-threatening ischemia caused by atypical vasculitis was successfully treated by the combination of pedal arch angioplasty and dual distal bypass. Angioplasty alone failed; therefore, we performed pedal arch angioplasty followed by distal bypass revascularized to the newly created dorsalis pedis artery and posterior tibial artery anastomosis sites. Restenosis occurred twice, and both cases were successfully treated by immediate angioplasty. Both branches of the graft remained patent for >2.5 years, and the wound healed completely. This unique combination of techniques can provide favorable results for selected patients with chronic limb-threatening ischemia. Elsevier 2023-03-04 /pmc/articles/PMC10149387/ /pubmed/37139351 http://dx.doi.org/10.1016/j.jvscit.2023.101138 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Innovative technique
Yamamoto, Nobuko
Komai, Hiroyoshi
Sakashita, Hideki
Miyama, Noriyuki
Kawasaki, Daizo
Fukunaga, Masashi
Novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia
title Novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia
title_full Novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia
title_fullStr Novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia
title_full_unstemmed Novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia
title_short Novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia
title_sort novel combination therapy of pedal arch angioplasty and dual distal bypass as an alternative treatment option for vasculitis in patients with chronic limb-threatening ischemia
topic Innovative technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10149387/
https://www.ncbi.nlm.nih.gov/pubmed/37139351
http://dx.doi.org/10.1016/j.jvscit.2023.101138
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