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The Journal of Cardiovascular Surgery 2012 February;53(1):101-6

Copyright © 2012 EDIZIONI MINERVA MEDICA

language: English

Tibial microdissection for diabetic wounds

Alexandrescu V. 1, Vincent G. 1, Ngongang C. 1, Ledent G. 2, Hubermont G. 3

1 Department of Vascular Surgery, Princess Paola Hospitalù, Marche-en-Famenne, Belgium; 2 Department of Radiology, Princess Paola Hospital, Marche-en-Famenne, Belgium; 3 Department of Diabetology, Princess Paola Hospital, Marche-en-Famenne, Belgium


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Few data are available focusing on controlled blunt microdissection during below-the-knee interventions as sole or synchronous technique coupled to subintimal angioplasty, particularly in the management of diabetic critical-ischemic foot wounds. We present two cases of targeted recanalizations in the tibial and pedal trunks for plantar and forefoot diabetic ischemic tissue defects, following an angiosome-model for perfusion.

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