title: Distal venous arterialization for limb salvage--a case report.
abstract: The reperfusion of an ischemic limb in the absence of suitable target artery remains a formidable task. The authors report a case of an ischemic limb in patient whose distal arteries were identified intraoperatively as unsuitable for conventional revascularization. A distal arteriovenous fistula was created between the already arterialized in situ greater saphenous vein conduit and the inframalleolar superficial venous system of the foot. The flow through the superficial venous system salvaged the limb and continues to perfuse the foot 4 years post-operatively with resolution of rest pain.
authors.affiliation: Department of Surgery, SUNY Upstate Medical University, Syracuse, NY, USA. agasparis_md@yahoo.com
authors.forename: Antonios P
authors.initials: AP
authors.lastname: Gasparis
authors.forename: Sonya
authors.initials: S
authors.lastname: Noor
authors.forename: Monica S
authors.initials: MS
authors.lastname: Da Silva
authors.forename: Apostolos K
authors.initials: AK
authors.lastname: Tassiopoulos
authors.forename: Lawrence
authors.initials: L
authors.lastname: Semel
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D005528:Foot / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D011150:Popliteal Artery / Q000601:surgery; D011859:Radiography; D016879:Salvage Therapy; D012501:Saphenous Vein / Q000601:surgery