Tibial microdissection for diabetic wounds.
Few data are available focusing on controlled blunt microdissection during below-the-knee interventions as sole or synchronous technique coupled to subintimal angioplasty, particularly in the management of diabetic critical-ischemic foot wounds. We present two cases of targeted recanalizations in the tibial and pedal trunks for plantar and forefoot diabetic ischemic tissue defects, following an angiosome-model for perfusion.
Department of Vascular Surgery, Princess Paola Hospitalù, Marche-en-Famenne, Belgium. v.alex@skynet.be
V
V
Alexandrescu
G
G
Vincent
C
C
Ngongang
G
G
Ledent
G
G
Hubermont
D017130:Angioplasty / Q000379:methods*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D005528:Foot / Q000098:blood supply*; D016523:Foot Ulcer / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D042282:Microdissection / Q000379:methods*; D008875:Middle Aged; D016909:Tibial Arteries / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D017539:Tunica Intima / Q000601:surgery*; D018616:Ultrasonography, Doppler, Duplex; D014945:Wound Healing