scholarly journals Anterior tibial compartment syndrome following femoral artery perfusion

Thorax ◽  
1973 ◽  
Vol 28 (4) ◽  
pp. 492-494 ◽  
Author(s):  
B. V. Palmer ◽  
J. L. Mercer
2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Sonia Selbonne ◽  
Celina Madjene ◽  
Benjamin Salmon ◽  
Yacine Boulaftali ◽  
Marie-Christine Bouton ◽  
...  

AbstractWe previously identified the inhibitory serpin protease nexin-1 (PN-1) as an important player of the angiogenic balance with anti-angiogenic activity in physiological conditions. In the present study, we aimed to determine the role of PN-1 on pathological angiogenesis and particularly in response to ischemia, in the mouse model induced by femoral artery ligation. In wild-type (WT) muscle, we observed an upregulation of PN-1 mRNA and protein after ischemia. Angiography analysis showed that femoral artery perfusion was more rapidly restored in PN-1−/− mice than in WT mice. Moreover, immunohistochemistry showed that capillary density increased following ischemia to a greater extent in PN-1−/− than in WT muscles. Moreover, leukocyte recruitment and IL-6 and MCP-1 levels were also increased in PN-1−/− mice compared to WT after ischemia. This increase was accompanied by a higher overexpression of the growth factor midkine, known to promote leukocyte trafficking and to modulate expression of proinflammatory cytokines. Our results thus suggest that the higher expression of midkine observed in PN-1- deficient mice can increase leukocyte recruitment in response to higher levels of MCP-1, finally driving neoangiogenesis. Thus, PN-1 can limit neovascularisation in pathological conditions, including post-ischemic reperfusion of the lower limbs.


2020 ◽  
pp. 130-142
Author(s):  
A. F. Kharazov ◽  
V. M. Luchkin ◽  
N. M. Basirova ◽  
V. A. Kulbak ◽  
A. I. Maslov

Patients with CLI often present multilevel disease. They underwent multiply revascularization procedures aiming to save thelimb. The main obstacle is absence or poor outflow arteries. Inability to restore bloodflow usuallyleads to ischemia progression and consequent amputation. We describe two cases of successful treatment of patient with CLI after multiply ABF thrombosis and absence of outflow arteries.The first 63 years old patient developed the third case of ABF thrombosis as a result of profunda and superficial femoral arteries chronic occlusion. We performed mechanical recanalization and angioplasty of anterior tibial, popliteal, subintimal recanalization and angioplasty of superficial femoral arteries. After that the ABFleg was sutured to subintimal space of femoral artery. The next case was another 63 years old patient with total chronic occlusion of iliac, femoral, popliteal and tibioperoneal trunk. We performed mechanical recanalization and angioplasty of anterior tibial, popliteal, subintimal recanalization and angioplasty of superficial femoral arteries. And then extra anatomy femoro-femoral autovenous bypass, distal anastomosis was performed by using subintimal artery space also. Thelong term period was 27 months for the first case and 20 months - for the second one. All bypasses were patient.Therefore this described above approach of hybrid open and endovascular surgery could give additional chance forlowlimb revascularization in this so-called hopeless group with criticallimb ischemia.


2016 ◽  
Vol 2016 (6) ◽  
pp. rjw102 ◽  
Author(s):  
Bibombe P. Mwipatayi ◽  
Ali Daneshmand ◽  
Haider K. Bangash ◽  
Jackie Wong

2006 ◽  
Vol 41 (3) ◽  
pp. 547 ◽  
Author(s):  
Song Lee ◽  
Ki Woong Jeong ◽  
Dong Ki Ahn ◽  
Byoung Gi Kwon ◽  
Sang Kyu Cha ◽  
...  

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Jige Guo ◽  
Yue Wang ◽  
Jihong Zhu ◽  
Jie Cao ◽  
Zili Chen ◽  
...  

1964 ◽  
Vol 129 (7) ◽  
pp. 610-613 ◽  
Author(s):  
Robert E. Leach ◽  
David A. Zohn ◽  
William S. Stryker

Vascular ◽  
2005 ◽  
Vol 13 (6) ◽  
pp. 355-357 ◽  
Author(s):  
Kenneth A. Goldstein ◽  
Frank J. Veith ◽  
Takao Ohki ◽  
Nicholas J. Gargiulo ◽  
Evan C. Lipsitz

A 66-year-old man had foot gangrene and a fixed contracture of the knee following two failed femoropopliteal bypasses, one with vein and one with polytetrafluoroethylene (PTFE). An external iliac to anterior tibial artery bypass and skeletal traction via the os calcis resulted in limb salvage and successful normal ambulation. After 3 months, he ruptured the infected femoral anastomosis of the failed PTFE femoropopliteal bypass with external bleeding. The use of arteriography and a balloon catheter to obtain proximal control allowed arterial repair, removal of the graft, and preservation of flow within a patent common and deep femoral artery. This flow preservation maintained the viability and function of the limb when the anterior tibial bypass closed 4 years later, and the limb continues to be fully functional 3 years later. Aggressive secondary attempts at limb salvage are worthwhile even in unfavorable circumstances.


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