Title

Distal Venous Arterialisation of Ischemic Limb
Distal Venous Arterialisation in the Treatment of Critical Ischemia of Lower Limb
  • Phase

    Phase 2/Phase 3
  • Study Type

    Interventional
  • Status

    Unknown status
  • Study Participants

    30
Distal venous arterialisation (DVA) improve outcome in patients with nonreconstructible peripheral arterial occlusive disease.
The aim of this study was to estimate validity of distal venous arterialisation (DVA) as a limb salvage procedure. This prospective randomized study reported early results of 30 unreconstructible patients with critical limb ischemia (CLI) treated during 2009 year at Clinic for vascular surgery, Clinical Center of Serbia in Belgrade. Patients were divided in two groups, 10 treated with DVA and 20 conservatively (CT) using antiplatelet drugs.
Study Started
Sep 30
2009
Primary Completion
Jul 31
2010
Study Completion
Jul 31
2011
Anticipated
Last Update
Sep 30
2010
Estimate

Procedure distal venous arterialisation

The investigators perform reverse revascularisation of the ischemic limb with arterial blood supply from patent in flow artery to the superficial dorsal venous arch.

  • Other names: Venous arterialisation, arteriovenous reversal

Drug Aspirin

100 mg per day continuous

Control No Intervention

Best medical treatment

critical ischemia Experimental

Criteria

Inclusion Criteria:

Absence of any possibility for direct revascularisation due to extensive occlusive disease of crural and pedal arteries
Sufficient deep venous system and usable great saphenous vein as a graft for in situ bypass surgery according duplex scanning
localized infective of necrotic process up to the metatarsal level
Satisfactory general patient condition

Exclusion Criteria:

advanced lower limb ischemia
venous insufficiency of lower limb
No Results Posted