Arterialização venosa superficial com veia safena magna in situ: a experiência de um único centro
Superficial venous arterialization with the great saphenous vein in situ: a single-center experience
Karlene Thayane Barros da Silva; Marcos Antonio Bonacorso Manhanelli Filho; José Francisco Moron Morad; Fábio Linardi; José Augusto Costa
Resumo
Palavras-chave
Abstract
Background: Arterialization of the dorsal venous arch of the foot is a technique indicated in cases of critical lower limb ischemia that do not have a distal bed that is adequate to enable conventional treatment such as revascularization, angioplasty, or clinical treatment.
Objectives: The purpose of this study is to present the result of arterialization of the venous arch of the foot in 16 patients who underwent treatment with this technique.
Methods: This is a cross-sectional retrospective descriptive analytical study based on a review of the medical records of 16 patients who underwent arterialization of the dorsal venous arch of the foot for limb salvage from January 2016 to January 2021.
Results: Four (25%) of the 16 patients who underwent arterialization of the venous arch of the foot underwent a major amputation during the same hospital stay and one patient (6.25%) had a major amputation within 6 months. The other 11 patients (68.75%) had their limbs preserved, with 10 undergoing minor amputations (toes and forefoot) and one patient having no additional procedures.
Conclusions: We conclude that the technique of arterialization of the dorsal venous arch of the foot should be considered in selected cases. It is a valid alternative for limb salvage when conventional treatment is impossible.
Keywords
References
1 Busato CR, Utrabo CAL, Gomes RZ, et al. Arterialização do arco venoso do pé para tratamento da tromboangeíte obliterante. J Vasc Bras. 2008;7(3):267-71.
2 Lu XW, Idu MM, Ubbink DT, Legemate DA. Meta-analysis of the clinical effectiveness of venous arterialization for salvage of critically ischaemic limbs. Eur J Vasc Endovasc Surg. 2006;31(5):493-9.
3 Gasparis AP, Noor S, da Silva MS, Tassiopoulos AK, Semel L. Distal venous arterialization for limb salvage a case report. Vasc Endovascular Surg. 2002;36(6):469-72.
4 Engelke C, Morgan RA, Quarmby JW, Taylor RS, Belli AM. Distal venous arterialization for lower limb salvage: angiographic appearances and interventional procedures. Radiographics. 2001;21(5):1239-48.
5 Rowe VL, Hood DB, Lipham J, et al. Initial experience with dorsal venous arch arterialization for limb salvage. Ann Vasc Surg. 2002;16(2):187-92.
6 Koyama T, Sugihara-Seki M, Sasajima T, Kikuchi S. Venular valves and retrograde perfusion. In: Swartz HM, Harrison DK, Bruley DF, editors. Oxygen transport to tissue XXXVI. New York: Springer; 2014. (Advances in Experimental Medicine and Biology; no. 812).
7 Sasajima T, Kikuchi S, Ishikawa N, Koyama T. Skin temperature in lower hind limb subjected to distal vein arterialization in rats. In: Swartz HM, Harrison DK, Bruley DF, editors. Oxygen transport to tissue XXXVI. New York: Springer; 2014. (Advances in Experimental Medicine and Biology; no. 812).
8 Lengua F, La Madrid A, Acosta C, et al. L’artérialisation des veines du pied pour sauvetage de membre chez l’artéritique: technique et résultats. Ann Chir. 2001;126(7):629-36.
9 Keshelava G, Gigilashvili K, Chkholaria A, Pagava G, Janashia G, Beselia K. Foot venous system arterialization for salvage of nonreconstructable acute ischemic limb: a case report. J Vasc Nurs. 2009;27(1):13-6.
10 Schreve MA, Vos CG, Vahl AC, et al. Venous arterialisation for salvage of critically ischaemic limbs: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg. 2017;53(3):387-402.
11 Mutirangura P, Ruangsetakit C, Wongwanit C, Sermsathanasawadi N, Chinsakchai K. Pedal bypass with deep venous arterialization: the therapeutic option in critical limb ischemia and unreconstructable distal arteries. Vascular. 2011;19(6):313-9.
12 Sprengers RW, Teraa M, Moll FL, de Wit GA, van der Graaf Y, Verhaar MC. Quality of life in patients with no-option critical limb ischemia underlines the need for new effective treatment. J Vasc Surg. 2010;52(4):843-9.
13 Alexandrescu V, Ngongang C, Vincent G, Ledent G, Hubermont G. Deep calf veins arterialization for inferior limb preservation in diabetic patients with extended ischaemic wounds, unfit for direct arterial reconstruction: preliminary results according to an angiosome model of perfusion. Cardiovasc Revasc Med. 2011;12(1):10-9.
14 Nguyen PSA, Legré R, Gay AM. Treatment of hand ischemia with arterialization of the venous system of the hand: report of three cases. Ann Chir Plast Esthet. 2011;56(3):200-6.
15 Ichihashi S, Shimohara Y, Bolstad F, Iwakoshi S, Kichikawa K. Simplified endovascular deep venous arterialization for non-option cli patients by percutaneous direct needle puncture of tibial artery and vein under ultrasound guidance (AV Spear Technique). Cardiovasc Intervent Radiol. 2020;43(2):339-43.
16 Wahlberg E. Angiogenesis and arteriogenesis in limb ischemia. J Vasc Surg. 2003;38(1):198-203.
17 Schreve MA, Ünlü Ç, Kum S, Tan YK. Surgical and endovascular venous arterialization: ready to take the “desert” by storm? J Cardiovasc Surg. 2017;58(3):402-8.
18 Houlind K, Christensen J, Hallenberg C, Jepsen JM. Early results from an angiosome-directed open surgical technique for venous arterialization in patients with critical lower limb ischemia. Diabet Foot Ankle. 2013;4(1):22713.
19 Schreve MA, Minnee RC, Bosma J, Leijdekkers VJ, Idu MM, Vahl AC. Comparative study of venous arterialization and pedal bypass in a patient cohort with critical limb ischemia. Ann Vasc Surg. 2014;28(5):1123-7.
Submitted date:
06/15/2023
Accepted date:
09/20/2023
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email