[Microsurgical approach to the foot arteries in diabetic patients with vascular complications].
This study was made in order to assess the percentage of patients who underwent a by-pass (by saphenous vein) "in situ" on the foot arteries, as an alternative to the amputation for cases of severe ischaemia on the foot. The medium and short-term survival associated to the revascularized limb was also analyzed. Sixteen patients underwent this surgical procedure, 8 of them (50%) lost their limb within the following seven days to the revascularization; one patient lost their limb at the first year and 43.7% of patients maintain the viability of their limbs 3 years latter. This surgical procedure was made by microsurgery using a Carl Zeica amplification optic lens 2,3 X and a OFMI microscope with an amplification lens 40 X.
Fernández Montequín
J I
JI
McCook Martínez
J
J
Lima Santana
B
B
Velasco Armas
N
N
Montalvo Diago
J
J
D001166:Arteriovenous Shunt, Surgical / Q000379:methods*; D003925:Diabetic Angiopathies / Q000601:surgery*; D005528:Foot / Q000098:blood supply; D005534:Foot Diseases / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery; D008866:Microsurgery; D012501:Saphenous Vein / Q000601:surgery*
Abordaje microquirúrgico de las arterias del pie en pacientes diabéticos con complicación vascular.