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    Item type:Publication,
    New surgical technique for treatment of superficial varicose veins
    (University Ss. Cyril and Methodius, Medical Faculty in Skopje, 2022)
    V Cvetanovski
    ;
    A Arsovski
    ;
    L Brajevikj
    ;
    A Mitevski
    ;
    In this article we have described our combination of few proven surgical techniques in treatment of superficial venous disease. Superficial venous disease and complications that are a consequence from their presence represent an increasingly common problem observed in different medical specialties. Many patients consult their family physician for the first time when they have experienced some of the complications from superficial venous disease. Availability of Color-Doppler sonography (CDS) enables timely diagnosis in early phase when only few symptoms are present. Most patients require a combination of treatment methods depending on the point of the highest venous reflux, the presence of bulging varicosities, the presence of incompetent perforator veins and the depth of subcutaneous tissue overlying the muscle fascia.
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    Item type:Publication,
    Deep vein arterialisation: case report
    (Macedonian Association of Anatomists, 2021)
    Cvetanovski V
    ;
    Arsovski A
    ;
    Mitevski A
    ;
    ;
    Critical lower limb ischemia in the absence of distal arterial circulation presents an urgent situation, which must be treated immediately if we want to save the foot or limb from amputation. According to Fountain these patients are classified in Class III or in Class IV. Approximately 14%–20% of patients with critical lower limb ischemia are unsuited for distal arterial reconstruction and face major distal amputation. Some patients with critical limb or foot ischemia will achieve wound healing with conservative therapy, it is impossible to predict who these patients will be, and it is therefore recommended that revascularization remains an important first-line treatment. We present our first clinical case of arterialization of deep posterior tibial vein in treatment of critical ischemia of the foot. Arterialization of the veins in properly selected patients can prevent major amputation in patients with critical limb ischemia where no other treatment option could be performed.