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Perspectives in Vascular Surgery 2000; Volume 13(Number 2): 0131-0150
DOI: 10.1055/s-2000-9984
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel. +1(212)584-4662.

Pedal Bypass for Critical Limb Ischemia

Frank J. Veith, Enrico Ascher, Peter Gloviczki, Audra Noel
  • Professor and Chief, Vascular Surgery Services, Department of Surgery, Division of Vascular Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY (FJV); Professor of Surgery, SUNY Health Science Center at Brooklyn (EA); Director, Vascular Surgery Services, Maimonides Medical Center, Brooklyn, NY; Professor of Surgery, Mayo Medical School, Chair, Division of Vascular Surgery, Mayo Clinic, Rochester, MN (PG); Vascular Fellow, Division of Vascular Surgery, Mayo Clinic, Rochester, MN (AN).
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

-This case panel discussion addresses some of the problems and judgment decisions required in a patient with extensive forefoot gangrene, a stenosis of the superficial femoral artery (SFA), and occlusions of all three leg arteries in the mid and upper leg. With extensive foot debridement to the transmetatarsal level, balloon angioplasty of the SFA, and a vein bypass to the distal anterior tibial artery, a functional foot remnant was saved. The timing of the various procedures, technical details regarding them, and other issues are discussed.

KEYWORD

Pedal bypass - foot gangrene - foot ischemia - vein bypass - transmetatarsal amputation

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