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Case Reports
. 2014 Apr;47(2):174-7.
doi: 10.5090/kjtcs.2014.47.2.174. Epub 2014 Apr 10.

Endovascular Revascularization for the Obstruction after Patch Angioplasty in Buerger's Disease

Hee Jae Jun  1
Affiliations
Case Reports

Endovascular Revascularization for the Obstruction after Patch Angioplasty in Buerger's Disease

Hee Jae Jun. Korean J Thorac Cardiovasc Surg. 2014 Apr.

Abstract

Surgical revascularization for patients with Buerger's disease is possible only in a few cases, due to the diffuse segmental involvement and the lack of distal runoff vessels available for bypass surgery. We encountered a case of resting pain in the right foot, coldness with dysesthesia, and cyanosis on the right 1st toe. The patient was treated with an endovascular intervention after vein patch angioplasty failed due to an inflammatory reaction of Buerger's disease. We suggest that an endovascular procedure can be an effective treatment, even in addition to more conservative and surgical management, in patients with Buerger's disease and critical limb ischemia.

Keywords: Angioplasty; Revascularization; Thromboangiitis obliterans.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
(A) Computerized tomography (CT) angiography shows segmental obstructions of the below-knee right popliteal artery and posterior tibial artery (arrow). The anterior tibial artery is obstructed in this image. (B) CT angiography shows good patency of the segmental obstructions of the below-knee right popliteal artery and patch angioplasty of the right posterior tibial artery after surgery (arrow).
Fig. 2
Fig. 2
Computerized tomography angiography shows diffuse obstruction in an anastomosis site of patch angioplasty of the right posterior tibial artery (arrow).
Fig. 3
Fig. 3
Post-interventional computerized tomography angiography shows improved blood circulation in the right posterior tibial artery (arrow).
See this image and copyright information in PMC

References

    1. Shionoya S. Diagnostic criteria of Buerger's disease. Int J Cardiol. 1998;66(Suppl 1):S243–S245. - PubMed
    1. Olin JW. Thromboangiitis obliterans (Buerger's disease) N Engl J Med. 2000;343:864–869. - PubMed
    1. Puechal X, Fiessinger JN. Thromboangiitis obliterans or Buerger's disease: challenges for the rheumatologist. Rheumatology (Oxford) 2007;46:192–199. - PubMed
    1. Arkkila PE. Thromboangiitis obliterans (Buerger's disease) Orphanet J Rare Dis. 2006;1:14. - PMC - PubMed
    1. Corelli F. Buerger's disease: cigarette smoker disease may always be cured by medical therapy alone: uselessness of operative treatment. J Cardiovasc Surg (Torino) 1973;14:28–36. - PubMed

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