开放距离静脉动脉技术作为关键肢体缺血患者的机会:拉丁美洲的经验
Leonardo Jose Randial-Pérez1, Esteban Portilla-Rojas2, Mariana Pinzón-Pinto2
1Vascular Surgery Department, Hospital Simón Bolívar, Bogotá, Colombia.
Vascular and endovascular surgery
|January 6, 2025
概括
开放的远静脉动脉 (DVA) 为慢性肢体威胁性缺血症 (CLTI) 患者提供了一种可行的,低成本的肢体救援解决方案. 这种技术在拉丁美洲队列中显示出有前途的肢体救援和移植通透率.
科学领域:
- 血管外科 血管外科
- 重建性手术是一种重建性手术.
背景情况:
- 慢性肢体威胁性缺血 (CLTI) 显著影响生活质量,导致截肢和死亡率.
- 有效的肢体救援策略对于管理CLTI患者至关重要.
研究的目的:
- 为了评估CLTI患者肢体救援的开放远静脉动脉化 (DVA) 的结果.
- 评估DVA在拉丁美洲环境中的可行性和有效性.
主要方法:
- 来自哥伦比亚波哥大的5名CLTI患者 (2018-2022) 的回顾性病例系列.
- 进行了开放的DVA程序,并进行了12个月的随访.
- 收集的数据包括手术时间,停留时间,移植类型,重新干预,透视度,截肢和死亡率.
主要成果:
- 在1年后观察到80%的移植通透度.
- 进行了一次大截肢和两次小截肢.
- 没有外科手术期间的死亡率,但有一个死于心肌梗塞的晚期死亡率.
结论:
- 开放式DVA是一种可行且具有成本效益的技术,适用于具有合适的静脉的选择性CLTI患者.
- 这项研究强调了在一个大量的CLTI中心中成功地挽救四肢和移植穿透性.
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