Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass

Inframalleolar bypass is an effective intervention for chronic limb threatening ischemia. A successful outcome can be compromised by early pedal wound disruption with secondary bypass exposure. We describe the case of a 74-year-old man with a WIfI (wound, ischemia, foot infection) clinical stage 4 f...

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Detalles Bibliográficos
Autores principales: Taylor, Sam, Gormley, Sinead, Mani, Maria, Mani, Kevin, Khashram, Manar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Case report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10562842/
https://www.ncbi.nlm.nih.gov/pubmed/37822946
http://dx.doi.org/10.1016/j.jvscit.2023.101233
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author Taylor, Sam
Gormley, Sinead
Mani, Maria
Mani, Kevin
Khashram, Manar
author_facet Taylor, Sam
Gormley, Sinead
Mani, Maria
Mani, Kevin
Khashram, Manar
author_sort Taylor, Sam
collection PubMed
description Inframalleolar bypass is an effective intervention for chronic limb threatening ischemia. A successful outcome can be compromised by early pedal wound disruption with secondary bypass exposure. We describe the case of a 74-year-old man with a WIfI (wound, ischemia, foot infection) clinical stage 4 foot who underwent popliteal–dorsalis pedis bypass, complicated by early skin necrosis overlying the pedal anastomosis. This necessitated a multidisciplinary approach to obtain tissue coverage over the anastomosis. The wound healed within 28 days, and at 2 years, the patient was mobilizing independently. We outline the approach taken and discuss the management of this challenging limb salvage problem.
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spelling pubmed-105628422023-10-11 Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass Taylor, Sam Gormley, Sinead Mani, Maria Mani, Kevin Khashram, Manar J Vasc Surg Cases Innov Tech Case report Inframalleolar bypass is an effective intervention for chronic limb threatening ischemia. A successful outcome can be compromised by early pedal wound disruption with secondary bypass exposure. We describe the case of a 74-year-old man with a WIfI (wound, ischemia, foot infection) clinical stage 4 foot who underwent popliteal–dorsalis pedis bypass, complicated by early skin necrosis overlying the pedal anastomosis. This necessitated a multidisciplinary approach to obtain tissue coverage over the anastomosis. The wound healed within 28 days, and at 2 years, the patient was mobilizing independently. We outline the approach taken and discuss the management of this challenging limb salvage problem. Elsevier 2023-05-25 /pmc/articles/PMC10562842/ /pubmed/37822946 http://dx.doi.org/10.1016/j.jvscit.2023.101233 Text en © 2023 Published by Elsevier Inc. on behalf of Society for Vascular Surgery. 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 Case report
Taylor, Sam
Gormley, Sinead
Mani, Maria
Mani, Kevin
Khashram, Manar
Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass
title Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass
title_full Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass
title_fullStr Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass
title_full_unstemmed Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass
title_short Definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass
title_sort definitive coverage of distal vein graft in a case of early skin necrosis following popliteal to dorsalis pedis bypass
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10562842/
https://www.ncbi.nlm.nih.gov/pubmed/37822946
http://dx.doi.org/10.1016/j.jvscit.2023.101233
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