Open AccessExtreme distal bypass to improve wound healing in Buerger's disease
Author(s) -
De Caridi Giovanni,
Massara Mafalda,
Villari Simona,
Martelli Eugenio,
Spinelli Francesco,
Grande Raffaele,
Butrico Lucia,
de Franciscis Stefano,
Serra Raffaele
Publication year - 2016
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.12241
Subject(s) - medicine , buerger's disease , gangrene , surgery , wound healing , vasculitis , critical limb ischemia , artery , vein , ischemia , disease , vascular disease , cardiology , arterial disease
Thromboangiitis obliterans or Buerger's disease is a rare non‐atherosclerotic segmental inflammatory vasculitis that most commonly involves small and medium‐sized arteries, veins and nerves of the extremities, and generally affects young tobacco smokers. A 53‐year‐old man was found to have critical ischaemia of his left lower limb with foot gangrene. He underwent extremely distal surgical revascularisation using a great saphenous vein bypass graft. The choice of a very distal artery as run‐off vessel promoted a faster wound healing and pain relief, with improvement in quality of life.