病例报告:在患有亚急性肢体缺血症的患者中,用于肢体救援的深静脉动脉化
Michelle Si Min Chim1, Guo Yuan How1, Qian Tai Hong2
1Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore.
Vascular
|May 27, 2024
概括
深静脉动脉化 (DVA) 在亚急性四肢缺血病例中成功恢复了血液流动,避免了截肢. 这挑战了DVA对于急性疾病需要成熟的概念.
科学领域:
- 血管外科 血管外科
- 血管内技术 血管内技术
- 肢体的救援工作
背景情况:
- 成功的再血管化对于在亚急性四肢缺血中挽救四肢至关重要.
- 穿皮深静脉动脉化 (DVA) 是一种用于慢性肢体威胁性缺血的内血管技术.
- DVA通常涉及通过动脉静脉囊将血液转移到下肢.
研究的目的:
- 介绍一个DVA的案例,用于非传统的肢体救援.
- 评估DVA在亚急性四肢缺血不耐其他治疗.
主要方法:
- 对一个患有亚急性四肢缺血症的患者进行了病例研究.
- 患者已经失败了手术,内血管和医疗疗法.
- 通过皮肤进行深静脉动脉化 (DVA).
主要成果:
- 在DVA程序创建了一个动脉静脉解剖.
- 足部的动脉流入成功恢复.
- 避免了主要的肢体截肢.
结论:
- 这个案子挑战了对DVA到期时间框架的传统理解.
- 在治疗亚急性四肢缺血时,DVA可能是有效的.
- 需要进一步的研究来确认DVA在亚急性四肢缺血中的作用.
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
395
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
395
Arteries of the Upper Limbs
531
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
531


