Luan Tran Minh Bao, Tuong Nguyen Huu, Han Tran Quoc
Department of Thoracic and Vascular Surgery, University Medical Center HCMC, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam, 700000.
Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Viet Nam, 700000.
Radiol Case Rep. 2024 Nov 27;20(2):1047-1052. doi: 10.1016/j.radcr.2024.10.141. eCollection 2025 Feb.
The retrograde approach is an adjunctive technique for endovascular intervention, particularly in the treatment of lower extremity arterial disease with multilevel vascular lesions. Combined with revascularization therapy, wound care plays a pivotal role in the management of patients with chronic limb-threatening ischemia. We present a case of chronic limb-threatening ischemia, with complex multilevel vascular lesions successfully treated using a retrograde endovascular approach alongside aggressive wound care management. Postintervention, the patient demonstrated a notable increase in ankle-brachial index from 0 to 1, along with accelerated wound healing and preservation of limb function. This case highlights the efficacy of the retrograde approach in restoring perfusion, particularly in chronic total occlusions, and emphasizes the importance of combining revascularization and wound care for optimal chronic limb-threatening ischemia management.
逆行入路是血管内介入治疗的一种辅助技术，尤其适用于治疗伴有多节段血管病变的下肢动脉疾病。与血运重建治疗相结合，伤口护理在慢性肢体威胁性缺血患者的管理中起着关键作用。我们报告一例慢性肢体威胁性缺血病例，其伴有复杂的多节段血管病变，采用逆行血管内入路并结合积极的伤口护理管理成功得到治疗。干预后，患者的踝肱指数从0显著提高到1，伤口愈合加速，肢体功能得以保留。该病例突出了逆行入路在恢复灌注方面的有效性，特别是在慢性完全闭塞病变中，并强调了血运重建与伤口护理相结合对于慢性肢体威胁性缺血的最佳管理的重要性。
