ARTERIAL OBSTRUCTIVE
PEDAL AND DEEP VENOUS ARTERIALIZATION (DVA)
Introduction
Last updated: apr 5, 2023
Patients who underwent PAA showed a higher rate of wound healing and shorter time to wound healing, especially in the moderate-risk population. With regard to wound healing, this aggressive strategy might become a salvage procedure for patients with critical limb ischemia presenting with pedal artery disease.
Indications
The quality of the pedal arch did not influence rates of patency or amputation-free survival in patients undergoing infrapopliteal bypass for CLI. However, the healing and time to healing rates were directly influenced by the quality of the pedal arch rather than the angiosome revascularized. 1
NO PEDAL ARCH - THEN ANGIOSOMES IMPORTANT
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Rashid, H., Slim, H., Zayed, H., Huang, D. Y., Wilkins, C. J., Evans, D. R., … Edmonds, M. (2013). The impact of arterial pedal arch quality and angiosome revascularization on foot tissue loss healing and infrapopliteal bypass outcome. Journal of Vascular Surgery, 57(5), 1219–1226. doi:10.1016/j.jvs.2012.10.129
