PMID- 32595787
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200928
IS  - 1881-641X (Print)
IS  - 1881-6428 (Electronic)
IS  - 1881-641X (Linking)
VI  - 13
IP  - 2
DP  - 2020 Jun 25
TI  - Angiosome～From the Standpoint of Bypass Surgery.
PG  - 126-131
LID - 10.3400/avd.ra.20-00042 [doi]
AB  - Although several studies showed that angiosome-guided endovascular treatment 
      improved wound healing and major amputation rates in patients with chronic 
      limb-threatening ischemia (CLTI), effectiveness of the angiosome concept to the 
      treatment of ischemic foot remains to be elucidated, especially in bypass 
      surgery. Arterial anatomy of the foot and ankle shows that there are multiple 
      supplementary circulation including arterial-arterial connections and choke 
      nexus, which indicates angiosome concept may carry limited importance in bypass 
      surgery for CLTI. On the other hand, patients with diabetes or renal dysfunction 
      have partial occlusion of arterial-arterial connections and, therefore, quite a 
      few patients with CLTI in Japan may present with limited but impaired 
      supplementary circulation around the ankle. This article reviews the arterial 
      anatomy and circulation of the foot and ankle and discusses availability and 
      limitations of angiosome-guided bypass surgery.
CI  - Copyright (c) 2020 Annals of Vascular Diseases.
FAU - Deguchi, Juno
AU  - Deguchi J
AD  - Department of Vascular Surgery, Saitama Medical Center, Saitama Medical 
      University, Kawagoe, Saitama, Japan.
LA  - eng
PT  - Journal Article
PL  - Japan
TA  - Ann Vasc Dis
JT  - Annals of vascular diseases
JID - 101471467
PMC - PMC7315229
OTO - NOTNLM
OT  - angiosome
OT  - arterial-arterial connection
OT  - bypass surgery
COIS- Disclosure StatementsThere is no conflict of interest in this paper.
EDAT- 2020/07/01 06:00
MHDA- 2020/07/01 06:01
PMCR- 2020/06/25
CRDT- 2020/06/30 06:00
PHST- 2020/06/30 06:00 [entrez]
PHST- 2020/07/01 06:00 [pubmed]
PHST- 2020/07/01 06:01 [medline]
PHST- 2020/06/25 00:00 [pmc-release]
AID - 10.3400/avd.ra.20-00042 [doi]
PST - ppublish
SO  - Ann Vasc Dis. 2020 Jun 25;13(2):126-131. doi: 10.3400/avd.ra.20-00042.