对大血管系统的初步研究,以获得跨足截肢的成功
Elizabeth Ansert1, John Najjar, Robert J Snyder
1Elizabeth Ansert, DPM, MBA, MA, is Podiatric Resident, Saint Vincent Hospital, Worcester, Massachusetts, USA. John Najjar, MD, is Vascular Surgeon, Reliant Medical Group, Worcester, Massachusetts. Robert J. Snyder, DPM, MBA, MSc, CWSP, is Dean, Podiatric Medical School, Barry University School of Podiatric Medicine, Miami, Florida. Acknowledgment: The authors thank the vascular surgeons involved in data collection. The authors have disclosed no financial relationships related to this article. Submitted October 30, 2022; accepted in revised form January 9, 2023.
截肢 (TMA) 的治愈率为45.28%. 虽然特定的源动脉封闭与整体TMA衰竭没有相关性,但背脚和关动脉封闭与背缺陷有关.
科学领域:
- 血管外科 血管外科
- 截肢结果的结果
- 血管学 血管学
背景情况:
- 跨足截肢 (TMA) 是一种常见的手术,可以保护脚的功能.
- 显著的TMA失败率,需要更高的截肢.
- 了解影响TMA片生存的因素至关重要.
研究的目的:
- 为了研究源动脉封闭和转移性足截肢 (TMA) 片失效之间的相关性.
- 为了确定与TMA并发症相关的特定动脉封闭.
主要方法:
- 在2009-2019年期间接受TMA的82名患者的回顾性审查.
- 对45名源动脉和TMA衰竭患者的血管图分析.
- 对12名患者进行了集中分析,这些患者有记录的片衰竭和血管图.
主要成果:
- 整体TMA愈合率为45.28%.
- 在特定的源动脉封闭和整体TMA衰竭之间没有发现相关性.
- 背脚和关节动脉封闭与背缺陷相关;关节动脉封闭与脚缺陷呈负相关性.
结论:
- 通过血管体原理逆行流支持成功的TMAs.
- 精心规划,剖析和保护关键血管是非常重要的.
- 在患有血管疾病或危险因素的患者中,警尤为重要.
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