表面化手臂动脉的再血管化
Shunichiro Fujioka1, Kenjiro Sakaki2
1Department of Vascular Surgery, Tachibanadai Hospital, Yokohama, Kanagawa, Japan.
Annals of vascular diseases
|December 24, 2025
概括
使用自身静脉绕道的手术复血管化有效地治疗表面臂动脉 (SBA) 动脉瘤,特别是在感染时. 精心规划和感染控制对于维持透析患者的透析接入和肢体功能至关重要.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 传染性疾病 传染性疾病
背景情况:
- 表面手臂动脉 (SBA) 接入对于 autogenous fistulas 失败时的血液透析至关重要.
- SBA接入容易导致诸如动脉瘤和重复刺穿的感染等并发症.
研究的目的:
- 审查表面臂动脉动脉瘤中复血管化和感染控制的手术策略.
主要方法:
- 对8名患有SBA动脉瘤的患者的回顾性分析 (2020年11月 - 2025年6月).
- 评估人口统计,并发症,手术程序和结果.
- 专注于恢复血管和感染管理技术.
主要成果:
- 患者平均年龄在43-81岁之间,接受透析已经19年了.
- 6个破裂的动脉瘤和5个受感染的动脉瘤得到治疗.
- 臂动脉绕道 (自身静脉/假体移植) 是常见的; 1 个关闭,1 个直接解剖.
- 感染病例通过自身静脉旁路或切除/解剖进行了脱bridement.
- 所有患者都保持了术后透析的机会.
结论:
- 自主静脉绕道在SBA动脉瘤再血管化方面是有效的,特别是在感染病例中.
- 个性化手术规划和细致的感染控制是关键.
- 成功管理可以保持透析的准入和肢体的功能.
更多相关视频
相关概念视频
Arteries of the Upper Limbs
2.0K
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...
2.0K
Veins of Upper Limbs
3.7K
The human circulatory system, a marvel of biological engineering, is a complex network of vessels that transport blood throughout the body. Among these, the veins responsible for carrying blood from the upper limbs are divided into two categories: deep and superficial.
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
The deep venous system is primarily composed of the ulnar and radial veins. The ulnar vein, which drains the fingers through the superficial palmar venous arches, and the radial vein, which serves the palms via the deep palmar...
3.7K
Sites for measruring blood pressure
3.2K
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
3.2K
Arteries of Lower Limbs
4.1K
The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
4.1K


