Arterial and venous reconstruction for free tissue transfer in diabetic ischemic foot ulcers

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dc.authoridHalici, Umit/0000-0002-1289-8829
dc.authoridSunar, Hasan/0000-0002-1276-8549
dc.authoridHalici, Umit/0000-0002-1289-8829
dc.authorwosidHalici, Umit/C-4015-2019
dc.authorwosidSunar, Hasan/A-8685-2018
dc.authorwosidHalici, Umit/AAL-7079-2020
dc.contributor.authorSunar, H
dc.contributor.authorAygit, CA
dc.contributor.authorAfsar, Y
dc.contributor.authorHalici, U
dc.contributor.authorDuran, E
dc.date.accessioned2024-06-12T10:59:27Z
dc.date.available2024-06-12T10:59:27Z
dc.date.issued2004
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective. To review our experience with temporary arteriovenous (AV) fistula followed by free tissue transfer in the treatment of diabetic foot ulcers associated with peripheral arterial occlusion. Patients and method. From July 1997 to July 2002,15 lower extremities were operated in 14 patients. An AV loop with its apex below the medial malleolus was created between popliteal artery and saphenous system. Three weeks later, the loop was divided to provide an artery and a vein end. Foot defect was covered with latissimus dorsi muscle flap followed by split thickness skin grafting. Results. Fistulas were patent in 12 extremities. Free tissue transfer was performed in 13 extremities. Two free flaps failed. After patent temporary arteriovenous fistula, free tissue transfer was successful in 11 of 12 extremities. One patient was amputated below knee due to ongoing infection despite successful free tissue transfer. Early mortality rate was 7%. Limb salvage was achieved in 11 of 13 extremities that staged operation was performed. Overall extremity loss was four of 15 lower extremities in 14 patients. Overall mortality was 21% for mean 20 follow-up period. Conclusion. Temporary AV fistula and free flap may provide stable wound coverage and high rate of limb salvage in treatment of diabetic foot ulcers with large tissue loss.en_US
dc.identifier.doi10.1016/j.ejvs.2003.09.013
dc.identifier.endpage215en_US
dc.identifier.issn1078-5884
dc.identifier.issn1532-2165
dc.identifier.issue2en_US
dc.identifier.pmid14718905en_US
dc.identifier.scopus2-s2.0-1642554461en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage210en_US
dc.identifier.urihttps://doi.org/10.1016/j.ejvs.2003.09.013
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20452
dc.identifier.volume27en_US
dc.identifier.wosWOS:000188418100015en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co Ltden_US
dc.relation.ispartofEuropean Journal Of Vascular And Endovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectDiabetic Foot Ulcersen_US
dc.subjectLower Extremity Ischemiaen_US
dc.subjectTemporary Arteriovenous Fistulaen_US
dc.subjectFree Tissue Transferen_US
dc.subjectLower-Extremity Ischemiaen_US
dc.subjectLimb Salvageen_US
dc.subjectArteriovenous-Fistulaen_US
dc.subjectAmputationen_US
dc.subjectMortalityen_US
dc.titleArterial and venous reconstruction for free tissue transfer in diabetic ischemic foot ulcersen_US
dc.typeArticleen_US

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