Miasnik B N, Morgovskiĭ A Ia
Khirurgiia (Mosk). 1992 May-Jun(5-6):31-4.
The authors show the significance of radionuclide angiography in evaluating the efficacy of surgical treatment of lower limb critical ischemia by formation of an arteriovenous anastomosis on the side of the affection. An operation for formation of an arteriovenous anastomosis on the lower third of the leg or the foot was found to be most effective. Increased perfusion of the ischemic limb on the level of balanced mixing of the blood flow was revealed in most patients, which the authors believe to be caused by venous stasis in the lower limb due to reduced difference in pressure in the arterial and venous bed. The highest percentage of favorable late--term results of the operation was revealed among this contingent of patients.
作者展示了放射性核素血管造影在评估通过在患侧形成动静脉吻合术治疗下肢严重缺血的手术疗效方面的重要性。发现在小腿下三分之一或足部形成动静脉吻合术的手术最为有效。大多数患者显示出在血流平衡混合水平上缺血肢体灌注增加，作者认为这是由于动静脉床压力差减小导致下肢静脉淤滞所致。在这群患者中显示出该手术晚期良好结果的比例最高。
