ARTERIOSCLEROSIS OBLITERANS SUCCESSFULLY TREATED BY PGE1 CONTINUOUS INTRAARTERIAL INFUSION USING DEEP CIRCUMFLEX ILIAC ARTERY-REPORT OF A CASE

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 62; no. 8; pp. 2054 - 2058
• Main Authors: UMEZU, Shoichi, ISHIHARA, Toru, OSAWA, Hiroyuki, SASAKI, Katsumi, MATSUHASHI, Wataru
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2001
• Subjects: prostaglandinE1
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.62.2054

This paper presents a case of ischemic ulcer due to arteriosclerosis obliterance which was successfully treated by PGE1 continuous intraarterial infusion. A 73-year-old man, who had undergone a femoropopliteal bypass at another hospital 2 years earlier followed by an amputation of the left first toe for necrosis one year 6 months earlier, was seen at the hospital because the surgical stump opened and necrosed since 10 months earlier. Angiography revealed occlusion of the bypass but did not clearly visualize any arteries under the femoral artery. Revascularization was difficult and no sufficient improvement was attained by epidural anesthesia and PGE1 intravenous infusion therapy. So we performed a lumber sympathectomy and PGE1 continuous intraarterial infusion by indwelling a catheter from the deep circumflex iliac artery to common femoral artery, simultaneously. The regimen was kept for 67 days. Although a stump plasty was needed, it provided a good cure for the surgical wound without any complications and resultantly saved the limb. The procedure of indwelling a catheter from the deep circumflex iliac artery to common femoral artery is advantageous in offering a good fixation and minimal chance of inflammation and demanding no restriction of movement. We think the procedure is beneficial for PGE1 continuous intraarterial infusion.