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4 . 2025

Treatment options for critical lower limb ischemia in the absence of a distal arterial bed. Free flap indirect revascularization

Abstract

Despite rapid development of vascular and endovascular surgery, the rate of amputation remains high even in developed countries. Major amputations are performed in 20–40% of patients with critical ischemia. In conditions of failure or impossibility of vascular reconstruction in the absence of a distal arterial bed, some teams of specialists use various methods of indirect revascularization. Based on the literature sources, the article provides a brief overview of such methods, assesses their applicability and effectiveness, substantiates the concept of free flap indirect revascularization of the limb in critical ischemia.

Keywords: free flap; no-option critical ischemia; revascularization; distal arterial bed

Funding. The study had no financial support.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Kalitko I.I.; data collection and handling – Kalitko I.I.; draft manuscript preparation – Kalitko I.I.; manuscript revision – Kalitko I.I., Cherniaev M.V., Faibushevich A.G.

For citation: Kalitko I.I., Cherniaev M.V., Faibushevich A.G. Treatment options for critical lower limb ischemia in the absence of a distal arterial bed. Free flap indirect revascularization. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2025; 31 (4): 166–75. DOI: https://doi.org/10.33029/1027-6661-2025-31-4-166-175

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CHIEF EDITOR
CHIEF EDITOR
Yuri V. Belov
Academician of the Russian Academy of Sciences Doctor of Medical Sciences, Professor, President of the Russian Society of Angiologists and Vascular Surgeons

 

In accordance with the decision of the Presidium of the Russian Society of Angiologists and Vascular Surgeons, the journal "Angiology and Vascular Surgery" will be named after Academician A.V. Pokrovsky starting from No. 2/2022.

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