- Peripheral Artery Disease Management
- Diabetic Foot Ulcer Assessment and Management
- Vascular Procedures and Complications
- Central Venous Catheters and Hemodialysis
- Peripheral Nerve Disorders
- Reconstructive Surgery and Microvascular Techniques
- Diagnosis and Treatment of Venous Diseases
Sapporo City General Hospital
2022-2024
Free flap transfer is a well-established treatment for foot reconstruction in patients with chronic limb-threatening ischemia (CLTI) and can achieve prolonged amputation-free survival. However, reports on ulcer recurrence after free are scarce, most focusing trauma patients. Therefore, we retrospectively reviewed CLTI who underwent at our institution over 17-year period. Patient characteristics, rates, activity level, variables associated were investigated met the following criteria:...
Abstract Background For chronic limb‐threatening ischemia, revascularization has been reported for occlusions but not stenosis in the inframalleolar (IM) lesions. We investigated clinical outcomes of balloon dilation stenotic IM lesions distal to treatment target infrapopliteal (IP) legion. Methods conducted a retrospective analysis patients who had ischemia and underwent IP between January 2015 August 2022. The outcome measures were amputation‐free survival, wound healing rate, freedom from...
Purpose: Although endovascular therapy (EVT) is considered a vital strategy for treating infrapopliteal lesions in chronic limb-threatening ischemia (CLTI), the recurrence rate after EVT exceeds that bypass surgery (BSX). The optimal approach managing lesion patients with CLTI and unhealed ulcers remains uncertain. This study aimed to evaluate clinical outcomes of repeat subsequent inframalleolar BSX recurrence. Materials Methods: We conducted retrospective analysis 140 (mean age, 70±10...
Vascular closure devices have become popular for rapid hemostasis and early ambulation. However, there are a few reports of complications. We presented case with acute limb ischemia caused by the protrusion EXOSEAL plug into vessel. Intravascular ultrasound imaging helped determine that occlusion.