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A case of diabetic foot with severe vascular disease in an elderly no-option patient undergoing lower limb arterialization: a clinical case report

Year: 2025

Type: article

Abstract: This clinical case report describes an 80-year-old no-option diabetic patient with chronic limb-threatening ischemia and severe vascular disease. The patient presented with wet gangrene and underwent an unsuccessful revascularization attempt, followed by minor amputation complicated by poor wound healing. Due to persistent ischemia and surgical dehiscence, the patient underwent a transcatheter deep venous arterialization procedure, resulting in improved perfusion, wound healing, and limb salvage. This case highlights the potential of venous arterialization as a limb-saving option in carefully selected elderly patients, emphasizing the importance of a multidisciplinary and individualized approach.

Source: Internal and Emergency Medicine

DOI: 10.1007/s11739-025-04106-y

Authors: Adriano Massacesi, Gioia Palmonella, Cristina Gatti, Michela Fichetti, Enrico Paci

Institution: Istituto Nazionale di Riposo e Cura per Anziani

Language: English

Topic: Peripheral Artery Disease Management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,790