慢性肢体威胁性缺血的手术或血管内治疗。
Surgery or Endovascular Therapy for Chronic Limb-Threatening Ischemia.
机构信息
Division of vascular and Endovascular Surgery, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03766, USA.
Department of Surgery, Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, 85 East Concord Street, 3rd Floor, Boston, MA 02118, USA.
出版信息
Adv Surg. 2024 Sep;58(1):121-133. doi: 10.1016/j.yasu.2024.04.008. Epub 2024 May 22.
Chronic limb-threatening ischemia is defined as ischemic rest pain or tissue loss (eg, ulceration/gangrene) that has been present for greater than 2 weeks. Workup includes a careful history, physical examination focused on evaluation of pulses and wounds, lower extremity noninvasive vascular studies (eg, ankle-brachial indices, toe pressures), saphenous vein mapping, and imaging of the lower extremity arterial anatomy (eg, computed tomography, magnetic resonance, or subtraction angiography) if a revascularization intervention is planned.
慢性肢体威胁性缺血被定义为缺血性静息痛或组织丧失（例如溃疡/坏疽），已经存在超过 2 周。检查包括仔细的病史、专注于评估脉搏和伤口的体格检查、下肢无创血管研究（例如，踝肱指数、脚趾压力）、大隐静脉图以及下肢动脉解剖结构的影像学检查（例如，计算机断层扫描、磁共振或减影血管造影），如果计划进行血运重建干预。
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