title: The "ultraperipheral" revascularization in arteriosclerotic obstruction of tibial vessels. Experimental study.
abstract: In arteriosclerotic obstruction of the main tibial arteries, the tibial collateral vessels are usually patent, and about 70% of these arteries are potentially suitable for surgical revascularization. The present study aimed at investigating the practical feasibility of a selective revascularization procedure on these tibial muscular arteries (ultraperipheral revascularization). Six lower limbs amputated at thigh level for arteriosclerotic gangrene with complete obstruction of the main tibial arteries, were studied: the tibial collateral muscular vessels showed patency in 65% of cases. The authors propose a surgical technique for the revascularization of these peripheral vessels with the use of a vascular prosthesis. The "post-operative" angiographic studies showed that revascularization of these peripheral muscular arteries was possible.
authors.affiliation: 1 Patologia Chirurgica, University of Cagliari, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Scattone
authors.forename: G
authors.initials: G
authors.lastname: Casula
authors.forename: A
authors.initials: A
authors.lastname: Uccheddu
authors.forename: M
authors.initials: M
authors.lastname: Pintus
authors.forename: C
authors.initials: C
authors.lastname: Murgia
authors.forename: A
authors.initials: A
authors.lastname: Neri
authors.forename: F
authors.initials: F
authors.lastname: Angioy
authors.forename: M
authors.initials: M
authors.lastname: Cagetti
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001158:Arteries / Q000601:surgery*; D001161:Arteriosclerosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D009132:Muscles / Q000098:blood supply; D011138:Polytetrafluoroethylene; D012501:Saphenous Vein / Q000637:transplantation; D014656:Vascular Surgical Procedures / Q000379:methods*
chemical_list: D011138:Polytetrafluoroethylene