title: Foot venous system arterialization for salvage of nonreconstructable acute ischemic limb: a case report.
abstract: Patients 73 years old man, was admitted to the Hospital with acute ischaemia of the left lower limb, pain started 4 days ago. Ultrasound investigation and lower limbs angiography were performed. Giant infrapopliteal aneurysm and thrombosis due to massive embolism of the crural and pedal arteries' was revealed. In order to keep the limb, urgent surgical treatment--popliteal aneurysm ligation and foot venous system arterialisation was performed. Urgent venous arterialisation may be considered as viable alternative in patients with limb acute ischaemia, when arterial reconstruction is impossible to perform. In our case improvement of the foot perfusion during 8 days increases the interest to this technique.
authors.affiliation: Departments of Cardiovascular Surgery and Interventional Radiology, West Georgian National Centre of Interventional Medicine, Kutaisi, Republic of Georgia.
authors.forename: Grigol
authors.initials: G
authors.lastname: Keshelava
authors.forename: Kakhaber
authors.initials: K
authors.lastname: Gigilashvili
authors.forename: Alexandre
authors.initials: A
authors.lastname: Chkholaria
authors.forename: Gocha
authors.initials: G
authors.lastname: Pagava
authors.forename: Giorgi
authors.initials: G
authors.lastname: Janashia
authors.forename: Kakha
authors.initials: K
authors.lastname: Beselia
mesh_terms: D000208:Acute Disease; D000368:Aged; D000783:Aneurysm / Q000150:complications; D001166:Arteriovenous Shunt, Surgical / Q000379:methods* / Q000451:nursing; D005528:Foot / Q000098:blood supply*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D008297:Male; D009730:Nursing Assessment; D010347:Patient Care Planning; D018579:Patient Selection; D019990:Perioperative Care / Q000379:methods / Q000451:nursing; D016491:Peripheral Vascular Diseases / Q000150:complications; D011150:Popliteal Artery / Q000601:surgery*; D016879:Salvage Therapy / Q000379:methods* / Q000451:nursing; D012501:Saphenous Vein / Q000637:transplantation*; D016896:Treatment Outcome; D018608:Ultrasonography, Doppler