title: Biological artificial vessel graft in distal arterial bypass for treating diabetic lower limb ischemia: a case report.
abstract: A 68-year-old female patient was treated for unhealed ulcer in the fourth toe of the left foot. Clinical examinations identified severe stenosis of the proximal segment and occlusion of the distal segment of the left anterior tibial artery, and occlusion of the left posterior tibial artery and the peroneal artery. The proximal stenotic segment of the left anterior tibial artery was dilated, but the distal occlusive part failed to be re-canalized. Left anterior tibial artery to dorsal pedal artery bypass was performed on the patient with an epoxide-crosslinked, special radicals antigen-sealed, porcine-derived biological graft; debridement of the left 4th digiti pedis was also performed. Postoperation course was uneventful. The pulse of the left dorsal pedal artery was strong. The ankle brachial index (ABI) increased from 0.60 to 1.09. Warfarin and two antiplatelet drugs were given after the operation. Six months after operation, computed tomographic angiogram (CTA) identified the patent graft.
authors: Department of Vascular Surgery, Xuanwu Hospital, Institute of Vascular Surgery, Capital Medical University, Beijing 100053, China. wyf799@Hotmail.com
authors: Yong-Quan
authors: YQ
authors: Gu
authors: Ying-Feng
authors: YF
authors: Wu
authors: Li-Xing
authors: LX
authors: Qi
authors: Lian-Ri
authors: LR
authors: Guo
authors: Xue-Feng
authors: XF
authors: Li
authors: Shi-Jun
authors: SJ
authors: Cui
authors: Zhu
authors: Z
authors: Tong
authors: Jian-Ming
authors: JM
authors: Guo
authors: Jian
authors: J
authors: Zhang
mesh_terms: D000368:Aged; D001807:Blood Vessel Prosthesis; D017719:Diabetic Foot / Q000601:surgery*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*