在使用足底动脉作为远端目标时,可比的四肢救援结果在Pop远端绕道上
Aihab Aboukheir-Aboukheir1, Patricia Mulero-Soto2, Noash Julia2
1Division of Vascular Surgery, Department of General Surgery at St. Luke's Medical Center, Ponce Health Sciences University, Ponce, Puerto Rico; PGY-5 General Surgery Resident, St. Lukes Medical Center, Ponce Health Sciences University, Ponce, Puerto Rico.
Annals of vascular surgery
|March 13, 2025
概括
足关动脉的内核绕道显示了可接受的肢体救援和穿透率,与其他关动脉目标相比. 这项研究评估了使用自身静脉导管的绕道的结果.
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.
- 周围动脉疾病 周围动脉疾病
背景情况:
- 在患有外周动脉疾病的患者中,内微核绕道对于挽救四肢至关重要.
- 脚动脉是绕道手术中未充分利用的远端目标.
- 评估足关动脉旁路术的结果对于优化治疗策略至关重要.
研究的目的:
- 评估针对脚动脉的低小路的四肢救援和穿透率.
- 为了比较脚动脉绕道的结果与其他骨动脉的结果.
主要方法:
- 使用自主静脉管道进行的90次低内绕道手术的回顾性队列研究 (2012年7月 - 2018年6月).
- 收集的数据包括人口统计数据,手术指示,肢体救援和绕道通透性.
- 排除标准:膝盖以上的流入,急性四肢缺血,合成导管.
主要成果:
- 该研究包括90个绕道到各种骨和脚动脉,随访时间中位数为65个月.
- 脚关节绕道的一年救援率为脚动脉绕道的65%,而其他关节动脉的82%.
- 一年内穿透率为脚部旁路的65%,其他人的82%,分别降至3年后的60%和75%.
结论:
- 脚动脉是通过自主静脉移植进行低压绕道的有效目标.
- 可接受的肢体救援和穿透率支持其在选定的患者中使用.
- 结果与针对其他关动脉的绕道相似.
相关概念视频
01:21Sites for measuring blood pressure
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...