ArticleEJVES vascular forum2026
Transpedal Retrograde Recanalisation of a Dorsalis Pedis Artery Occlusion Associated With Arteriovenous Fistula After Combined Arthroscopic and Mini Open Talocalcaneotibial Arthrodesis.
Article in EJVES vascular forum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Arterial injury following hindfoot fusion is an exceptionally rare but serious complication that may result in limb threatening ischaemia. Methods: This report presents the case of a 71 year old man who experienced acute foot ischaemia after undergoing combined arthroscopic and mini-open tibiotalocalcaneal arthrodesis. Angiography revealed anterior tibial artery occlusion with an arteriovenous fistula. After failed antegrade attempts, transpedal retrograde recanalisation via the dorsalis pedis artery successfully restored perfusion and excluded the fistula. Results: This case highlights the potential for arterial injury as a rare complication of complex hindfoot procedures. It underscores the importance of multidisciplinary collaboration between orthopaedic and endovascular specialists and demonstrates that minimally invasive recanalisation techniques can effectively salvage the limb and prevent major amputation.
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