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
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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.
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Referências
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Submetido em:
15/06/2023
Aceito em:
20/09/2023
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