Title
Distal Venous Arterialisation of Ischemic Limb
Distal Venous Arterialisation in the Treatment of Critical Ischemia of Lower Limb
Phase
Phase 2/Phase 3Lead Sponsor
Clinical Centre of SerbiaStudy Type
InterventionalStatus
Unknown statusIndication/Condition
Critical Limb IschemiaIntervention/Treatment
acetylsalicylic acid ...Study Participants
30Distal 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.
The investigators perform reverse revascularisation of the ischemic limb with arterial blood supply from patent in flow artery to the superficial dorsal venous arch.
100 mg per day continuous
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