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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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International Angiology 2009 August;28(4):340

language: English

Vacuum-assisted closure for bilateral severe ischemic foot after revascularization: a case report

Nishimura K. 1, Kanaoka Y. 2, Ishiguro S., Harada S., Shiraya S., Fujiwara Y., Nakamura Y., Kamihira S., Nishimura M. 1

Division of Organ Regeneration Surgery, Tottori University Faculty of Medicine, Yonago, Japan


Vacuum-assisted closure (VAC) therapy is a unique system that helps promote wound healing. We report a case of severe ischemic foot in which VAC therapy markedly improved wound healing. A 73-year-old man underwent left axillopopliteal bypass and left 3rd, 4th , and 5th digital amputations for gangrene. Although his amputation stumps were complicated with methicillin-resistant Staphylococcus aureus (MRSA) infection, the stumps were successfully healed by VAC. He also had gangrene in his right 1st toe, which could not healed by VAC alone, and we performed right femoropopliteal bypass and right 1st digital amputation. The stump with MRSA infection was also successfully healed by VAC. Histopathologic examination revealed a lot of microvessels in the increased granulation tissue.

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