Critical ischemia of hip stump. Incidence, clinical significance and diagnosis

Васильченко, Елена Михайловна; Tsoy, V. K.; Dedikova, T. N.; Баранов, Андрей Игоревич; Zoloyev, D. G.; Zoloyev, G. K.

doi:10.17116/hirurgia2018850

Cited by 1 publication

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References 5 publications

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“…AKA stump ischemia is associated with an increase in mortality. A contemporary study by Vasilchenko et al in 2018 2 found that 5.2% of patients undergoing AKA for peripheral arterial disease developed stump ischemia, and in turn had a 6-fold increase in 5-year mortality as compared with patients without wound complications. Ascending gangrene of the stump may then result in sepsis, muscle ischemia and potentially even death.…”

Section: Introductionmentioning

confidence: 99%

Retrograde Trans-Amputation Embolectomy of Common, Superficial and Deep Femoral Arteries for Inflow Revascularisation During Above-Knee Amputation: A Case Report and Review of the Literature

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Lim

2023

Vasc Endovascular Surg

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Background Primary above-knee amputation (AKA) may at times be the only option for unsalvageable acute lower limb ischemia. However, occlusion of the femoral arteries may result in poor inflow and contribute to wound complications such as stump gangrene and sepsis. Previously attempted inflow revascularisation techniques include surgical bypass and percutaneous angioplasty and/or stenting. Case presentation We present a case of a 77-year-old lady with unsalvageable acute right lower limb ischemia secondary to cardioembolic occlusion of the common (CFA), superficial (SFA) and deep (PFA) femoral arteries. We performed a primary AKA with inflow revascularisation using a novel surgical technique involving endovascular retrograde embolectomy of the CFA, SFA and PFA via the SFA stump. The patient made an uneventful recovery without any wound complications. Detailed description of the procedure is followed by a discussion of the literature on inflow revascularisation in the treatment and prevention of stump ischemia.

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Section: Introductionmentioning

confidence: 99%