Guardado-Bermúdez F, Arriaga-Caballero JE, Sánchez-Burgoa N, Sánchez-Nicolat NE, Torres-Martínez JA, Flores-Escartín M, Mariano-Palena L, Álvarez-Arcaute NR, Serrano-Lozano JA

Language: Spanish
References: 22
Page: 100-105
PDF size: 353.74 Kb.

ABSTRACT

Surgical or endovascular revascularization is the cornerstone of treatment for patients with critical ischemia, however, there are times when the anatomy and progression of the pathology does not allow the usual treatment. The aim of this article is to return to the concept of distal arteriovenous fistulas as management in patients in whom there are no adequate vessels in the distal arterial bed. In this article, we present a clinical case where this approach of revascularization was performed through distal endovascular arteriovenous fistula, as well as a review of the current literature on the subject. Distal arterialization is a viable treatment option in the desert foot, with more and more evidence, which should be considered in patients where the usual revascularization methods have not been successful.

REFERENCES

1. Bouchet A. The pioneers of vascular surgery in Lyon: M. Jaboulay, A. Carrel, E. Villard et R. Leriche. Hist Sci Medicales 1994; 28(3): 223-38.

2. Mills S JL. Commentary: Is Deep Vein Arterialization for Limb-Threatening Ischemia Effective? A Novel Percutaneous Technique May Lead to an Answer. J Endovasc Ther 2017; 24(5): 627-8.

3. Keshelava G, Gigilashvili K, Chkholaria A, Pagava G, Janashia G, Beselia K. Foot venous system arterialization for salvage of nonreconstructable acute ischemic limb: A case report. J Vasc Nurs 2009; 27(1): 13-6.

4. Busato CR, Utrabo CAL, Gomes RZ, Housome JK, Hoeldtke E, Pinto CT, et al. Arterialization of the venous arch of the foot for the treatment of thromboangiitis obliterans. J Vasc Bras 2008; 7(3): 267-71.

5. Pokrovskii AV. Arterialisation of the foot venous system in the treatment of critical lower limb ischaemia and distal arterial bed occlusion. Ann Vasc Surg 1996; 4: 73-93.

6. Agarwal S, Sud K, Shishehbor MH. Nationwide Trends of Hospital Admission and Outcomes Among Critical Limb Ischemia Patients: From 2003-2011. J Am Coll Cardiol 2016; 67(16): 1901-13.

7. Katib N, Thomas SD, Lennox AF, Yang J-L, Varcoe RL. An Endovascular-First Approach to the Treatment of Critical Limb Ischemia Results in Superior Limb Salvage Rates. J Endovasc Ther Off J Int Soc Endovasc Spec 2015; 22(4): 473-81.

8. Shishehbor MH, White CJ, Gray BH, Menard MT, Lookstein R, Rosenfield K, et al. Critical Limb Ischemia: An Expert Statement. J Am Coll Cardiol 2016; 68(18): 2002-15.

9. Arsenault KA, Tse LW, Gagnon J, Kelton D, Baxter K, Chen J, et al. Venous Arterialization for Nonreconstructible Lower Extremity Arterial Disease: A Multicenter Case Series. J Vasc Surg 2017; 66(3): e68-e69.

10. Dormandy J, Heeck L, Vig S. Major amputations: clinical patterns and predictors. Semin Vasc Surg 1999; 12(2): 154-61.

11. Lu XW, Idu MM, Ubbink DT, Legemate DA. Meta-analysis of the clinical effectiveness of venous arterialization for salvage of critically ischaemic limbs. Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg 2006; 31(5): 493-9.

12. Lichtenberg M, Schreve MA, Ferraresi R, van den Heuvel DAF, Ünlü Ç, Cabane V, et al. Surgical and endovascular venous arterialization for treatment of critical limb ischaemia. VASA Z Gefasskrankheiten 2018; 47(1): 17-22.

13. Norgren L, Hiatt WR, Dormandy JA, Nehler MR, Harris KA, Fowkes FGR, et al. Inter-Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg 2007; 45(Suppl.): S5-S67.

14. Jacobs MJ, Reul GJ, Gregoric ID, Ubbink DT, Tordoir JH, Kitslaar PJ, et al. Creation of a distal arteriovenous fistula improves microcirculatory hemodynamics of prosthetic graft bypass in secondary limb salvage procedures. J Vasc Surg 1993; 18(1): 1-8; Discussion 8-9.

15. Ozbek C, Kestelli M, Emrecan B, Ozsöyler I, Bayatli K, Yasa H, et al. A novel approach: ascending venous arterialization for atherosclerosis obliterans. Eur J Vasc Endovasc Surg Off J Eur Soc Vasc Surg 2005; 29(1): 47-51.

16. Lengua F, Madrid AL, Acosta C, Vargas J. Temporal venous arterialization of the diabetic foot. J Vasc Bras 2010; 9(1): 14-20.

17. Ferraresi R. Arterialisation of The Venous System of The Foot In No-Option Cli Patients: A Hybrid (Open + Endo). Presentado en: Leipzig Interventional Course; 2017. Leipzig. Disponible en: https://www.leipzig-interventional- course.com/media-library/linc-2017/

18. Ferraresi R. The Limflow Venous Arterialization System Via Percutaneous Punctures: Technical Tips, Precautions, Hybrid Modifications And Results: How To Make It Work To Salvage The Otherwise Unsalvageable Clti Foot. Presentado en: Veith Symposium; 2017. New York. Disponible en: http://www.veithsymposium.org/abstracts/ 2017/vei/260.pdf

19. Iida O, Nanto S, Uematsu M, Ikeoka K, Okamoto S, Dohi T, et al. Importance of the angiosome concept for endovascular therapy in patients with critical limb ischemia. Catheter Cardiovasc Interv Off J Soc Card Angiogr Interv. 2010; 75(6): 830-6.

20. Gandini R, Merolla S, Scaggiante J, Meloni M, Giurato L, Uccioli L, et al. Endovascular Distal Plantar Vein Arterialization in Dialysis Patients With No-Option Critical Limb Ischemia and Posterior Tibial Artery Occlusion: A Technique for Limb Salvage in a Challenging Patient Subset. J Endovasc Ther Off J Int Soc Endovasc Spec 2018; 25(1): 127-32.

21. Steven Kum, Kai Tan Yih, Tang Tjun, Ferraresi Roberto, Schmit Andrej. Percutaneous Deep Venous Arterialization. Endovasc Today. Citado 9 de abril de 2018. Disponible en: http://evtoday.com/2015/05/percutaneous-deepvenous- arterialization/

22. Kum S, Tan YK, Schreve MA, Ferraresi R, Varcoe RL, Schmidt A, et al. Midterm Outcomes From a Pilot Study of Percutaneous Deep Vein Arterialization for the Treatment of No-Option Critical Limb Ischemia. J Endovasc Ther Off J Int Soc Endovasc Spec 2017; 24(5): 619-26.