Evidence map›Paper›PMID 41064485›Full record

ArticleJournal of vascular surgery cases and innovative techniques2025

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

John M Felder, Emmanuel Nageeb, Vipul Khetarpaul, Ryan Wahidi, Patrick Geraghty

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In one paragraph

Article in Journal of vascular surgery cases and innovative techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

John M FelderDivision of Plastic Surgery, Corewell Health William Beaumont University Hospital, Royal Oak, MI.
Emmanuel NageebDivision of Plastic Surgery, Corewell Health William Beaumont University Hospital, Royal Oak, MI.
Vipul KhetarpaulDivision of Vascular Surgery, Washington University School of Medicine, St Louis, MO.
Ryan WahidiDivision of Vascular Surgery, Washington University School of Medicine, St Louis, MO.
Patrick GeraghtyDivision of Vascular Surgery, Washington University School of Medicine, St Louis, MO.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

Case reportChronic limb-threatening ischemiaDeep vein arterializationDistal foot arterializationFree flap

Identifiers

PMID41064485
PMCPMC12501641

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.