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Case Report
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Korean J Med. 2014;87(4):471-476. Published online October 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.87.4.471
- 다발성 구축 환자의 허혈성 괴사 병변에 대한 구제 목적 말초동맥 중재시술
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손창배1,2, 김수홍1,2, 김지연2,3, 이시원1,2
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1부산보훈병원 내과
2부산보훈병원 당뇨 족부 및 말초혈관질환센터
3부산보훈병원 정형외과
- Peripheral Transluminal Angioplasty for Limb Salvage in Critical Limb Ischemia in an Old Cerebral Infarction with Multiple Contractures
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Chang-Bae Sohn1,2, Su Hong Kim1,2, Jiyoun Kim2,3, Sea-Won Lee1,2
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1Departments of Internal Medicine, Busan Veterans Hospital, Busan, Korea
2Diabetic Foot and Peripheral Artery Disease Center, Busan Veterans Hospital, Busan, Korea
3Departments of Orthopedic Surgery, Busan Veterans Hospital, Busan, Korea
- Corresponding author: Su Hong Kim ,Tel: +82-51-601-6741, Fax: +82-51-601-6745, Email: dhugie@naver.com
- Received: October 10, 2013; Revised: October 21, 2013 Accepted: December 10, 2013.
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߽ɾ :말초동맥 질환; 경피적 혈관성형술; 허혈성 구축
- Abstract
- Percutaneous transluminal angioplasty is being used to treat peripheral artery disease increasingly in place of conventional peripheral vascular surgery. Critical limb ischemia is the most severe form of peripheral artery disease and presents with ischemic resting pain and non-healing foot wounds or gangrene. It can result in amputation and increased mortality if aggressive revascularization to obtain sufficient blood is not performed as soon as possible. Generally, both femoral arteries are used for vascular access. However, we could not use the femoral artery for vascular access in a patient with multiple contractures of the extremities due to an old cerebral infarction. Consequently, we used the left brachial artery to perform successful revascularization of the left foot in critical limb ischemia.
Keywords :Peripheral Artery Disease, Percutaneous Transluminal Angioplasty, Ischemic Contractures
