A case of hybrid treatment of critical limb ischemia and 2-vessel coronary artery lesion with good results
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- Kishimoto Santa
- Shimane Prefectural Central Hospital
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- Yamauchi Masanobu
- Shimane Prefectural Central Hospital
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- Kamihira Satoshi
- Shimane Prefectural Central Hospital
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- Hanada Tomoki
- Shimane Prefectural Central Hospital
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- Kanetsuki Kazuya
- Shimane Prefectural Central Hospital
Bibliographic Information
- Other Title
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- 重症下肢虚血と冠動脈2枝病変に対し、下肢及び冠動脈血行再建ともハイブリッド治療を行い, 良好な結果が得られた1例
Abstract
A 72-year-old man was admitted to our hospital after a new type of coronavirus infection, worsening ischemia of the right lower extremity, and necrosis of the right toes. Contrast-enhanced CT showed occlusion of external iliac artery, superficial femoral artery and popliteal artery, and patency of common femoral artery and posterior tibial artery. Coronary angiography showed severe stenosis of left anterior descending artery (LAD) and circumflex artery (CX). Preoperative ankle brachial pressure index (ABI) was unmeasurable, and skin perfusion pressure (SPP) was highly depressed. Stent grafting of right common iliac artery to external iliac artery and right common femoral artery to posterior tibial artery bypass with a great saphenous vein were performed. After confirming improvement of ABI and SPP, the patient underwent right total toe amputation by plastic surgery. He underwent off-pump coronary artery bypass (left internal thoracic artery to LAD) and percutaneous coronary angioplasty for CX for a two-vessel coronary artery lesion. In the present case, a hybrid technique was selected for both lower extremity and coronary revascularization, and good results were obtained.
Journal
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- Medical Journal of Shimane Prefectural Central Hospital
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Medical Journal of Shimane Prefectural Central Hospital 48 (1), 51-57, 2024-03-10
Shimane Prefectural Central Hospital
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Details 詳細情報について
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- CRID
- 1390299826874789632
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- ISSN
- 24350710
- 02895455
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- Text Lang
- ja
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- Data Source
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- JaLC
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- Abstract License Flag
- Disallowed