表面静脉动脉化与大静脉在位:一个单中心的经验
Karlene Thayane Barros da Silva1, Marcos Antonio Bonacorso Manhanelli2, José Francisco Moron Morad1
1Pontifícia Universidade Católica de São Paulo - PUC-SP, Faculdade de Ciências Médicas e da Saúde, São Paulo, SP, Brasil.
Jornal vascular brasileiro
|April 2, 2024
概括
脚背静脉门的动脉化在其他治疗方法失败时,在关键的下肢缺血中保护四肢. 这种技术在68.75%的患者中成功挽救了四肢,避免了严重的截肢.
科学领域:
- 血管外科 血管外科
- 肢体救援程序 肢体救援程序
- 关键四肢缺血的治疗 关键四肢缺血的治疗
背景情况:
- 脚背静脉的动脉化是关键下肢缺血的外科选择.
- 这种技术适用于当传统的复血管化或血管塑造由于远端床位不足而不可行时.
研究的目的:
- 为了评估脚背静脉的动脉化结果.
- 评估这种技术在关节救援中对患有关键下肢缺血症的患者的有效性.
主要方法:
- 进行了一项回顾性描述性分析研究.
- 审查了16名患者的医疗记录,这些患者在2016年1月至2021年1月期间接受了脚背静脉门的动脉化.
主要成果:
- 在16名患者中,11名患者 (68.75%) 实现了四肢的保存.
- 十名患者经历了轻微的截肢 (脚和前脚),一名患者不需要进一步的手术.
- 四名患者 (25%) 在住院期间经历了重大截肢,其中一名 (6.25%) 在六个月内经历了重大截肢.
结论:
- 脚背静脉门的动脉化是肢体救援的可行替代方案.
- 这种技术应考虑在某些患有关键下肢缺血症的患者中,当传统治疗不可能时.
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