Experimental and clinical studies on one-stage arterialization of the venous channels for revascularization of severely ischemic limbs.
A new approach to perfuse arterial blood through venous channels for revascularization of severely ischemic limbs is reported. The procedure studied and used consists of creating an arteriovenous fistula between the normal arterial trunk proximal to the occlusion and the deep venous trunk of the diseased limb, constricting the venous trunk proximal to the anastomosis to one third of its lumen diameter, ligating the communicating and small tributary veins distal to the constriction in the operative field. The results of the experimental and clinical studies have shown that the treated ischemic limb was quickly revascularized without undesirable influence on cardiac function. This new approach has been used in the treatment of severe ischemia involving total 212 limbs in 156 patients, and the results appeared more satisfactory than those treated with staged arteriovenous reversal.
Wu
Z Q
ZQ
Department of Vascular Surgery, First Hospital of Nanchang.
Jiang
X P
XP
Wu
Z P
ZP
Zhang
L
L
Liu
X M
XM
Xia
G H
GH
Zhang
P H
PH
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001162:Arteriosclerosis Obliterans / Q000601:surgery*; D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D004285:Dogs; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005268:Femoral Vein / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013919:Thromboangiitis Obliterans / Q000601:surgery*; D014680:Veins / Q000601:surgery