Mircea I. Popitiu, Mihai Ionac, Crina Solomon, Vlad Alexandrescu and Bogdan Timar
Introduction: The angiosome concept was first described in 1987, defining an angiosome as an area of tissue comprising skin, subcutaneous tissue, fascia, muscle and bone supplied by a specific artery and drained by a specific vein. We report a case of a patient who was successfully complex revascularized by open surgery and endovascular techniques based on angiosome concept.
Case presentation: A 73-years-old male patient with critical limb ischemia and type 2 diabetes, presented increasing resting pain in the lower right limb during the last 3 months, followed by necrosis of distal phalanx of I and II toes, wet interdigital necrosis of toes I-II on the right leg, with absence of distal pulses on both limbs. Direct flow into affected angiosome was successfully achieved with right proximal femoral-popliteal saphenous vein bypass and ATA balloon dilatation angioplasty.
Conclusion: The vascular patient with critical ischemia associated to diabetes currently requires a complex treatment including open surgery, endovascular technique and negative pressure therapy to save the lower limbs. The angiosome concept is useful during both open and endovascular tibial revascularisation.
この記事をシェアする
English 
Spanish 
Chinese 
Russian 
German 
French 
Portuguese 
Hindi 