Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Damar Cer Derg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 1301 - 1839 E-ISSN 2149 - 1259


Turkish Journal of Vascular Surgery 0 , Vol 0 , Issue 0
Infragenicular Femoropopliteal Bypass in A Nonagenarian: Doctor, I am Too Old to Live Without My Leg! Case Report
Hamit Serdar BAŞBUĞ1, Yalçın GÜNERHAN1, Hakan GÖÇER1, Kanat ÖZIŞIK1
1Department of Cardiovascular Surgery, Kafkas University Faculty of Medicine, Kars DOI : 10.9739/uvcd.2016-50741 Peripheral arterial disease (PAD) and intermittent claudication (IC) may sometimes be hard to diagnose in elderly patients as they are relatively immobile. Those elder patients without any previous history often admit to the emergency departments straightaway with critical limb ischemia (CLI) symptoms. Radiological tests in the emergency department may sometimes be suboptimal, or interpreted incorrectly. Additionally, consideration of the metabolic complications that may occur during the long revascularization period may result in easier sacrifice of the extremity. A nonagenarian patient was admitted to the emergency department with CLI, and the absence of the distal popliteal run-off was observed on computerized tomography angiography scan. Her limb was salvaged upon a surprisingly strong intention for revascularization as she did not give her consent for amputation. In this case report, we aimed to demonstrate that the radiological findings should not always be credited, particularly in emergency conditions. Keywords : Aged; arterial occlusive diseases; limb salvage