<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1682-0037</journal-id>
<journal-title><![CDATA[Revista Cubana de Angiología y Cirugía Vascular]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Angiol Cir Vasc]]></abbrev-journal-title>
<issn>1682-0037</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1682-00372019000300004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Arterialización del sistema venoso superficial para el salvamento de la extremidad en isquemia crítica]]></article-title>
<article-title xml:lang="en"><![CDATA[Arterialization of the superficial venous system for the salvage of a limb in critical ischemia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa Vázquez]]></surname>
<given-names><![CDATA[Onerys Ramón]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figueroa Martínez]]></surname>
<given-names><![CDATA[Alain]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Hernández]]></surname>
<given-names><![CDATA[Abran Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fabelo Martínez]]></surname>
<given-names><![CDATA[Amirelia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Pérez]]></surname>
<given-names><![CDATA[Calixto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Savigne.Gutiérrez]]></surname>
<given-names><![CDATA[William Orlando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Angiología y Cirugía Vascular  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>20</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1682-00372019000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1682-00372019000300004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1682-00372019000300004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La isquemia crítica es la más severa condición que afecta a los pacientes con enfermedad arterial periférica, con tendencia al empeoramiento progresivo y asociada con una alta tasa de amputación mayor, mortalidad y pobre calidad de vida.  Objetivo:  Exponer la arterialización del sistema venoso superficial como alternativa a la amputación mayor en pacientes con isquemia crítica sin opciones de revascularización  Presentación del caso:  Se presenta un caso con diagnóstico de isquemia crítica en el miembro inferior derecho, con alto riesgo de amputación mayor y sin posibilidades de revascularización. La paciente presentaba lesiones isquémicas en el pie y patrón oclusivo distal en el miembro inferior derecho, con un patrón hemodinámico calcificado. En la arteriografía se apreció oclusión de la arteria poplítea en su segunda porción sin restitución del flujo. Se le realizó arterialización de la vena safena mayor mediante tratamiento quirúrgico convencional desde la primera porción de la arteria poplítea.  Conclusión:  la arterialización del sistema venoso superficial permitió que la paciente salvara su extremidad y egresara sin una amputación mayor.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The critical ischemia is the most severe condition that affects patients with peripheral arterial illness, with tendency to progressive worsening and it is associated with a high rate of major amputation, mortality and poor quality of life.  Objective: To present a case with critical limb ischemia without revascularization options and the arterialization of the superficial venous system as an alternative to major amputation.  Case presentation: A case is presented with diagnostic of critical ischemia in the right lower limb with high risk of major amputation and without revascularization options. The patient presented ischemic lesions in the right foot and an occlusive distal pattern in the right lower limb with a calcified hemodynamic pattern. In the arteriography it was found an occlusion of the popliteal artery in its second portion without restitution of the flow. It was carried out the arterialization of the major safena vein by means of conventional surgical treatment from the first portion of the popliteal artery.  Conclusions: The arterializations of the superficial venous system allowed the patient to save her limb and that discharged from the institution without a major amputation.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad arterial periférica]]></kwd>
<kwd lng="es"><![CDATA[isquemia crítica]]></kwd>
<kwd lng="es"><![CDATA[arterialización venosa]]></kwd>
<kwd lng="en"><![CDATA[peripheral arterial disease]]></kwd>
<kwd lng="en"><![CDATA[critical ischemia]]></kwd>
<kwd lng="en"><![CDATA[venous arterializations]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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