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J Korean Wound Management Soc > Volume 12(2); 2016 > Article
Journal of the Korean Wound Management Society 2016;12(2): 65-69.
The Wound Healing Effects of Percutaneous Transluminal Angioplasty for an Entire Dorsal Foot Ulcer with Buerger’s Disease: Prevention of Major Amputation
Sang Hun Kim1, Hwan Jun Choi2,3, Eun Soo Park1
1Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon, 2Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Cheonan, 3Institu
  Published online: 30 November 2016.
Endovascular treatment in patient with Buerger’s disease (BD) may be technically challenging due to distal localization of arterial occlusions and the absence of recipient vessels. Acute limb ischemia in patients with BD is a critical situation, often resulting in amputation. A 47-year-old man diagnosed with BD had resting pain and necrosis on his toe. Angiography showed severe obstruction in the femoral and anterior tibia arteries and typically many collateral vessels showed a “corkscrew” appearance. The ankle brachial index (ABI) showed no pulse signal at the right ankle level. Percutaneous transluminal angioplasty (PTA) was done at ATA to superficial femoral artery (SFA) lesions and stent was deployed at the SFA lesion. We waited about 4 weeks for limb salvage after PTA, and then debrided the demarcated tissue serially and applied CGPASTE (CGBIO Co., Seoul, South Korea) and NPWT for 2 weeks. The patient recovered completely without major amputation and no further complications were observed. (J Korean Wound Management Soc 2016;12:65-69)
Key Words: Buerger’s disease, Percutaneous transluminal angioplasty, Negative pressure wound therapy, Foot ulcer
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