Academic Journal
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 |
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| Authors: | Sam Taylor, MB, BCh, BAO, Sinead Gormley, MB, BCh, BAO, Maria Mani, MD, PhD, Kevin Mani, MD, PhD, FEBVS, Manar Khashram, PhD, FRACS |
| Source: | Journal of Vascular Surgery Cases and Innovative Techniques, Vol 9, Iss 4, Pp 101233- (2023) |
| Publisher Information: | Elsevier, 2023. |
| Publication Year: | 2023 |
| Collection: | LCC:Surgery LCC:Diseases of the circulatory (Cardiovascular) system |
| Subject Terms: | Bypass, Chronic limb-threatening, Diabetic foot, Ischemia, Wound infection, Surgery, RD1-811, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| More Details: | 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. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2468-4287 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2468428723001429; https://doaj.org/toc/2468-4287 |
| DOI: | 10.1016/j.jvscit.2023.101233 |
| Access URL: | https://doaj.org/article/da029defed9a431fb4a3ee1188633bf2 |
| Accession Number: | edsdoj.029defed9a431fb4a3ee1188633bf2 |
| Database: | Directory of Open Access Journals |
| ISSN: | 24684287 |
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| DOI: | 10.1016/j.jvscit.2023.101233 |
| Published in: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Language: | English |