穿皮深静脉动脉化使用现成的设备治疗慢性肢体威胁性缺血
Aakanksha Gupta1, Mikael Fadoul1, Katherine McMackin1
1Division of Vascular Surgery, Cooper University Hospital, Camden, NJ.
概括
这一案例研究表明,穿皮深静脉动脉化成功地使患者的右脚免于. 这种最少的侵入性技术为患有严重并发症和截肢病史的患者提供了一种肢体救援选择.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 再生医学是一种再生医学.
背景情况:
- 慢性四肢威胁性缺血症 (CLTI) 是一个重大挑战,特别是在患有严重并发症的患者中.
- 由于不可挽救的肢体而导致逆侧截肢的病史增加了管理剩余肢体的复杂性.
研究的目的:
- 为了描述一个高风险患者成功地挽救了右脚的右肢,右脚患有炎和休息疼痛.
- 评估通过皮肤进行深静脉动脉化 (PDVA) 的可行性,使用用于CLTI的现成设备.
主要方法:
- 穿皮深静脉动脉化是使用随时可用的设备进行的.
- 该手术的目的是恢复动脉血液流向受损的右脚.
主要成果:
- 成功实现了右脚的重血管化和四肢挽救.
- 患者从休息时的疼痛中获得了缓解,并消除了炎.
结论:
- 穿皮深静脉动脉化是一种可行的肢体救援策略,用于选择患有CLTI和严重并发症的患者.
- 这种最少的侵入性方法提供了一个替代方案,当传统的重血管化方法是不可行的.
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