Microvascular distal foot arterialization with flow through free flaps for salvage of the no-option foot.

Document Type

Article

Publication Date

10-1-2025

Publication Title

Journal of vascular surgery cases and innovative techniques

Abstract

Patients with chronic limb-threatening ischemia, advanced foot wounds, and no pedal revascularization targets often face amputation. Deep vein arterialization has significant drawbacks. We report three cases using flow-through free flaps with microvascular distal foot arterialization to salvage ischemic feet with complex wounds. All flaps survived. Patients achieved wound healing and ambulation. Two maintained perfusion at 3 and 6 years. One required transmetatarsal amputation at 14 months but remains ambulatory. This technique provides a novel salvage option for the "no-option" foot by combining soft tissue coverage and selective arterialization of small distal veins, avoiding complications of deep vein arterialization and offering durable perfusion.

Volume

11

Issue

5

First Page

101914

DOI

10.1016/j.jvscit.2025.101914

ISSN

2468-4287

PubMed ID

41064485

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