<?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>S1682-00372022000200004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Angioplastia simple de arteria tibial posterior en paciente diabético para el salvamento de la extremidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Posterior tibial artery simple angioplasty in diabetic patient for limb salvage]]></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[Valdés Pérez]]></surname>
<given-names><![CDATA[Calixto]]></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>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>23</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1682-00372022000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1682-00372022000200004&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1682-00372022000200004&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La diabetes mellitus constituye un factor de riesgo distintivo en la enfermedad arterial periférica. Esta produce típicamente la afectación de los vasos infrageniculares, asociada con mayor predisposición a ulceración y amputación que en pacientes no diabéticos. Debido al desenlace sombrío de estos pacientes es necesario revascularizar con el fin de salvar la extremidad.  Objetivo:  Presentar un caso en el que se utilizó la angioplastia simple de la arteria tibial posterior para salvar la extremidad de un paciente diabético.  Presentación del caso:  Se presenta un caso con diagnóstico de pie diabético isquémico infectado en la extremidad inferior izquierda. Al examen físico se constató lesión isquémica infectada en el quinto y cuarto dedos con extensión al dorso y planta del pie, y patrón esteno-oclusivo distal. Se detectó disminución de los índices de presiones distales. En la arteriografía se apreció oclusión de las arterias tibial anterior y peronea desde su origen, y lesiones esteno-oclusivas en la tibial posterior en el tercio inferior de la pierna. Se realizó angioplastia transluminal percutánea de la tibial posterior y el paciente recuperó pulso en tibial posterior con mejoría hemodinámica. Evolucionó satisfactoriamente y egresó con tratamiento médico. A los cinco meses de operado mantenía su pulso tibial posterior presente y la lesión cicatrizada.  Conclusiones:  La angioplastia simple de una de las arterias de la pierna puede resultar beneficiosa para la cicatrización de lesiones en el pie, aun siendo estas extensas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Diabetes mellitus is a distinctive risk factor in peripheral artery disease. This typically produces the involvement of the infragenicular vessels, associated with a greater predisposition to ulceration and amputation than in non-diabetic patients. Due to the bleak outcome of these patients it is necessary to revascularize in order to save the limb.  Objective:  To present a case in which simple angioplasty of the posterior tibial artery was used to save the limb of a diabetic patient.  Case Presentation:  It is presented a case with a diagnosis of infected ischemic diabetic foot in the left lower extremity. On physical examination, infected ischemic lesion was found in the fifth and fourth toes with extension to the back and soles of the foot, and distal steno-occlusive pattern. Decreases in distal pressure indices were detected. Arteriography showed occlusion of the anterior tibial and peroneal arteries from their origin, and steno-occlusive lesions in the posterior tibial in the lower third of the leg. Percutaneous transluminal angioplasty of the posterior tibial was performed and the patient recovered pulse in the posterior tibial with hemodynamic improvement. The patient progressed satisfactorily and was discharged with medical treatment. Five months after surgery, the kept posterior tibial pulse present and the injury healed.  Conclusions:  Simple angioplasty of one of the arteries of the leg can be beneficial for the healing of foot injuries, even if these are extensive.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[enfermedad arterial periférica]]></kwd>
<kwd lng="es"><![CDATA[pie diabético isquémico]]></kwd>
<kwd lng="es"><![CDATA[angioplastia transluminal percutánea]]></kwd>
<kwd lng="en"><![CDATA[peripheral artery disease]]></kwd>
<kwd lng="en"><![CDATA[ischemic diabetic foot]]></kwd>
<kwd lng="en"><![CDATA[percutaneous transluminal angioplasty]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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