98%
921
2 minutes
20
Purpose: To report the preliminary 3-month follow-up of a recently developed absorbable metal stent (AMS) for treatment of infrapopliteal lesions in patients with critical limb ischemia (CLI).
Methods: Between December 2003 and January 2004, 20 patients (10 men; mean age 76 years, range 59-96) with symptomatic critical limb ischemia (CLI) due to high-grade (80% to 100%) infrapopliteal stenoses received 1 or 2 AMS devices for suboptimal angioplasty. Clinical examination and color-flow duplex imaging were performed in all patients at discharge and at 1 and 3 months.
Results: Angiographic procedural success was achieved in all 20 patients. One patient died (non-procedure-related) during the periprocedural period. Three months after the procedure, primary clinical patency was 89.5% (17/19). No major or minor amputation was necessary in any of the patients, yielding a limb salvage rate of 100%. The average improvement in Rutherford class was 2.3 at the 3-month assessment. A comparison of postprocedural and 1-month color-flow duplex ultrasound and magnetic resonance images clearly indicated the ongoing absorption process of the AMS.
Conclusions: After 3 months, the primary clinical patency and limb salvage rates suggest a potentially promising performance of these AMS devices in the treatment of below-knee lesions in CLI patients.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1583/04-1349R.1 | DOI Listing |
Khirurgiia (Mosk)
September 2025
Kursk State Medical University, Kursk, Russia.
Objective: To compare 6- and 12-month results of femoral artery repair with xenopericardial and autologous venous patch in hybrid treatment of critical lower limb ischemia.
Material And Methods: A retrospective analysis included 60 patients with critical lower limb ischemia who underwent hybrid treatment (balloon angioplasty and stenting of iliac arteries and open reconstruction of femoral arteries). Patients were divided into 2 groups by 30 people depending on femoral artery repair (group 1 - autologous venous patch, group 2 - xenopericardial patch).
Semin Vasc Surg
September 2025
Division of Vascular and Endovascular Surgery, Department of Surgery, Northwell Health, Manhasset, NY; Zucker School of Medicine at Hofstra, Hempstead, NY. Electronic address:
Peripheral arterial disease (PAD) is a prevalent and debilitating condition in elderly patients, often leading to critical limb threatening ischemia (CLTI) and major amputations. While endovascular interventions are usually preferred for their lower perioperative risk, open surgical revascularization should also be considered due to its durability and superior patency in complex disease patterns. Age alone does not determine suitability for surgery; rather, candidacy hinges on frailty, functional status, comorbidities, and anatomical considerations.
View Article and Find Full Text PDFJ Hand Surg Am
September 2025
Department of Orthopaedic Surgery, Washington University School of Medicine, Saint Louis, MO.
Purpose: Phocomelia is an intercalary segmental dysplasia of the upper limb, a distinct entity from longitudinal deficiencies. Nearly 20 years ago, more severely dysplastic limbs initially thought to be phocomelia were able to be reclassified as more severe forms of longitudinal dysplasia. This study sought to evaluate current phocomelia cases to identify if these represented true phocomelia.
View Article and Find Full Text PDFJ Vasc Surg Cases Innov Tech
December 2025
Cooper University Hospital, Division of Vascular Surgery, Camden, NJ.
A 47-year-old patient was emergently placed onto venoarterial extracorporeal membrane oxygenation on postoperative day 1 after coronary artery bypass surgery for refractory ventricular tachycardic arrest. The patient subsequently lost pulses in the right lower extremity and was too unstable to be transported for a computed tomography scan or to the hybrid operating room for an angiogram. Bedside administration of contrast via the perfusion sheaths with concurrent portable radiograph allowed for imaging of the right lower extremity vasculature to assess for patency.
View Article and Find Full Text PDFBioact Mater
December 2025
Department of Plastic Surgery, Peking University Third Hospital, Beijing, 100191, China.
Craniofacial muscles are essential for a variety of functions, including fine facial expressions. Severe injuries to these muscles often lead to more devastating consequences than limb muscle injuries, resulting in the loss of critical functions such as mastication and eyelid closure, as well as facial aesthetic impairment. Therefore, the development of targeted repair strategies for craniofacial muscle injuries is crucial.
View Article and Find Full Text PDF