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皮肤深静脉动脉化为四肢救援在没有选择的慢性四肢威胁性缺血症患者

Stavros Spiliopoulos¹, Efstathia Davoutis¹, Nikolaos-Achilleas Arkoudis¹

¹2nd Department of Radiology, Interventional Radiology Unit, Medical School, National and Kapodistrian University of Athens, "Attikon" University General Hospital, 15784 Athens, Greece.

Journal of clinical medicine

|December 9, 2023

概括

深静脉动脉化为患有"沙漠脚"的慢性四肢威胁性缺血症 (CLTI) 患者提供了一种最小侵入性的选择. 这种技术在传统的内血管方法由于缺少骨血管而失败时,有望挽救四肢.

科学领域:

血管外科血管外科
干预心脏病学干预心脏病学
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) 是一种严重的疾病,通常用内血管方法治疗.
"沙漠脚"呈现,其特点是晚期的下骨疾病和缺少骨脱水,这对内血管再血管化提出了重大挑战.
主要截肢是有限的内血管选择的CLTI患者的风险.

研究的目的:

审查皮肤通道深静脉动脉化 (DVA) 技术.
评估DVA作为一种最小侵入性治疗,用于在CLTI患者中挽救肢体,这些患者有"沙漠脚".
为了突出DVA的潜力,当传统的内血管方法是不可行的.

主要方法:

关于CLTI深静脉动脉化的当前文献的综述.
专注于DVA的穿皮技术.
分析DVA在"沙漠脚"患者的肢体救援中的作用.

主要成果:

内血管再血管化具有很高的技术成功,但在"沙漠脚"病例中是有限的.
深静脉动脉化正在作为替代治疗方法进行研究.
穿皮DVA为肢体救援提供了一个有希望的,最少侵入性的选择.

结论:

穿皮深静脉动脉化是一种可行的,有前途的最小入侵策略,用于在CLTI患者的肢体救援"沙漠脚".
当传统的内血管再血管化不可能时,DVA提供了一个替代方案.
对DVA技术的进一步研究可以改善复杂的CLTI病例的结果.

关键词:

慢性四肢威胁性缺血症是什么沙漠的脚沙漠的脚血管内治疗血管内治疗通过皮肤的深静脉动脉化.

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