Retrograde Transamputation Revascularization: A Case Report

Zachary F. Williams, Brian Gilmore, Hope Weissler, Chandler Long, Kevin Southerland, Mitchell W. Cox

Research output: Contribution to journalArticlepeer-review

Abstract

Below-knee amputation remains the most common level of amputation in patients with lower extremity gangrene and critical limb ischemia. Failure to heal, requiring additional operative debridement or conversion to an above-knee amputation remains a significant cause of patient morbidity. There remains no definitive diagnostic test that can accurately predict healing of the amputation site. We report a case utilizing a hybrid technique of retrograde transamputation revascularization via balloon angioplasty. This proximal, retrograde approach allows for relatively easy crossing and treatment of the infrainguinal chronic total occlusions (CTOs), improving arterial inflow for optimal wound healing.

Original languageEnglish (US)
Pages (from-to)511-514
Number of pages4
JournalAnnals of Vascular Surgery
Volume74
DOIs
StatePublished - Jul 2021
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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