Rivascolarizzazione endovascolare femoro-distale combinata con ricostruzione plastica con impiego di lembo libero nelle vaste ulcere ischemiche degli arti inferiori

Translated title of the contribution: Combined femoro-distal endovascular revascularisation and plastic reconstruction with free-flap transfer in large ischemic ulcers of lower limbs

D. Russo, M. Calcagni, E. Faglia, G. Pajardi, L. Gabrielli

Research output: Contribution to journalArticle

Abstract

Background. Diabetic patients with lower limb critical ischemia and large trophic lesions in most cases require above or below knee amputation. Combined vascular infrainguinal revascularisation and microvascular free flap transfer allow, in selected cases, the preservation of limb function. Methods. In this study we report our experience of 3 diabetic patients with large trophic lesions of the lower limbs treated, in the past year, with endovascular femorotibial revascularisation combined with free-tissue transfer. The revascularisation procedures consisted of tibial PTA in 2 cases and superficial femoral PTA in 1 case. The plastic reconstruction was made using free-flap muscle tissue with skin graft. Results. Functional limb salvage was achieved in 2 patients, whereas 1 patient underwent an above-knee amputation following local infective complications at 10 months. Conclusions. These results are encouraging and in selected cases this combined procedure may offer an alternative treatment to amputation. However, the complexity of this technique not only involves the surgical operation itself, but also the postoperative care. Close collaboration between the vascular surgeon, plastic surgeon and physician is important to plan the surgical strategy and patient care.

Translated title of the contributionCombined femoro-distal endovascular revascularisation and plastic reconstruction with free-flap transfer in large ischemic ulcers of lower limbs
Original languageItalian
Pages (from-to)111-120
Number of pages10
JournalGiornale Italiano di Chirurgia Vascolare
Volume10
Issue number2
Publication statusPublished - Jun 2003

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Combined femoro-distal endovascular revascularisation and plastic reconstruction with free-flap transfer in large ischemic ulcers of lower limbs'. Together they form a unique fingerprint.

  • Cite this