下肢血管重建的临床和功能结果
Aline H Ishida1, Pedro J Furtado Neves1, Andrea Simioni2
1Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, University of Colorado, Anschutz Medical Center, Aurora, CO.
Journal of vascular surgery
|August 8, 2025
概括
在癌症手术后的下肢血管重建显示出高透度和四肢功能保存. 重复干预和闭塞等并发症不常见,支持这种方法对选定的患者.
科学领域:
- 瘤血管外科手术是什么?
- 手术瘤学手术瘤学
- 血管的重建 血管的重建
背景情况:
- 有限的数据存在于下肢血管重建后的结果.
- 瘤切除可能需要血管重建以保持肢体活力.
研究的目的:
- 报告有关下肢血管重建的机构经验.
- 评估这种手术方法的患者报告的结果,安全性和通透率.
主要方法:
- 32名接受瘤切除和血管重建的患者的回顾性审查 (2013年4月至2022年10月).
- 分析患者的人口统计,手术细节,功能肢体结果和穿透率.
- 用描述性统计数据来评估数据.
主要成果:
- 32名患者 (平均年龄58岁) 接受了40个血管 (20个动脉,20个静脉) 的重建.
- 软组织瘤是最常见的瘤 (40.6%).
- 一年的动脉和静脉通透率分别为95%和89.4%. 28名患者报告了完全的四肢功能.
结论:
- 在瘤切除过程中,下肢的血管重建是可行的和安全的.
- 观察到高穿透率和四肢功能保存率.
- 重复干预,闭塞和感染是罕见的并发症.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
25
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...
25
Varicose Veins II: Diagnostic Studies and Interprofessional Care
31
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
31
Peripheral Artery Disease IV: Nursing Management
44
The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
44
Peripheral Artery Disease III: Interprofessional Care
29
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...
29
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
35
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
35
Veins of Lower Limbs
1.3K
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
1.3K


