Biological artificial vessel graft in distal arterial bypass for treating diabetic lower limb ischemia： a case report

作     者：GU Yong-quan WU Ying-feng QI Li-xing GUO Lian-ri LI Xue-feng CUI Shi-jun TONG Zhux GUO Jian-ming and ZHANG JianGUO Jian-ming ZHANG Jian 

作者机构：Department of Vascular Surgery Xuanwu Hospital Institute of Vascular Surgery Capital Medical University Beijing 100053 China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2011年第124卷第19期

页      面：3185-3188页

核心收录：

学科分类：071011[理学-生物物理学] 090603[农学-临床兽医学] 0710[理学-生物学] 07[理学] 09[农学] 0906[农学-兽医学] 

基　　金：This work was co-funded by the National High-Tech Development (863) Plan of China (No. 2006AA02A134) and Beijing Natural Science Foundation (No. 5082007 and No. 2103049) 

主　　题：distal arterial bypass xeno epoxide cross-link antigen-sealed biological 

摘      要：A 68-year-old female patient was treated for unhealed ulcer in the fourth toe of the left foot. Clinical examinations identified severe stenosis of the proximal segment and occlusion of the distal segment of the left anterior tibial artery, and occlusion of the left posterior tibial artery and the peroneal artery. The proximal stenotic segment of the left anterior tibial artery was dilated, but the distal occlusive part failed to be re-canalized. Left anterior tibial artery to dorsal pedal artery bypass was performed on the patient with an epoxide-crosslinked, special radicals antigen-sealed, porcine-derived biological graft; debridement of the left 4th digiti pedis was also performed. Postoperation course was uneventful. The pulse of the left dorsal pedal artery was strong. The ankle brachial index （ABI） increased from 0.60 to 1.09. Warfarin and two antiplatelet drugs were given after the operation. Six months after operation, computed tomographic angiogram （CTA）identified the patent graft.