Schreve Michiel A, Ünlü Çağdaş, Kum Steven, Tan Yih K
Department of Vascular Surgery, Noordwest Hospital Group, Alkmaar, The Netherlands -
Department of Vascular Surgery, Noordwest Hospital Group, Alkmaar, The Netherlands.
J Cardiovasc Surg (Torino). 2017 Jun;58(3):402-408. doi: 10.23736/S0021-9509.17.09844-5. Epub 2017 Feb 2.
Patients with critical limb ischemia have a poor life expectancy, and aggressive revascularization is accepted to maintain their independence in the end stage of life. Bypass surgery and, more recently, endovascular interventions with angioplasty and stenting have become the treatment of choice to prevent amputation and resolve rest pain. Up to 20% of patients with critical limb ischemia are not suitable candidates for a vascular intervention because of extensive occlusions of the outflow in the crural and pedal vessels. This "desert foot" can be treated with a venous arterialization. In this review, we discuss the mechanism, the techniques, outcome, and complications of venous arterialization.
严重肢体缺血患者的预期寿命较短，积极的血管重建术被认为可在生命末期维持其独立性。旁路手术以及最近采用血管成形术和支架置入术的血管内干预已成为预防截肢和缓解静息痛的首选治疗方法。高达20%的严重肢体缺血患者因小腿和足部血管广泛流出道闭塞而不适合进行血管干预。这种“足部荒漠”可通过静脉动脉化进行治疗。在本综述中，我们讨论了静脉动脉化的机制、技术、结果和并发症。
