[Primary arterialization of the deep vein in the treatment of severely ischemic limbs].
Revascularization of severely ischemic limbs was performed on 212 limbs of 156 patients by creating an arteriovenous fistula between the arterial trunk proximal to the obliteration and a deep venous trunk of the ischemic limb, constricting the venous trunk proximal to the anastomosis by two thirds of its original diameter, ligating rami communicans and small tributaries of the deep vein distal to the fistula. The results of experimental and clinical studies showed that the ischemic limb was quickly revascularized and the cardiac function was not damaged after the operation, and the result is more satisfactory than that of arteriovenous reversal by stages.
Wu
Z Q
ZQ
First Hospital, Nanchang.
D000818:Animals; D001161:Arteriosclerosis / Q000601:surgery; D001166:Arteriovenous Shunt, Surgical / Q000379:methods; D004285:Dogs; D006801:Humans; D013924:Thrombophlebitis / Q000601:surgery*; D013927:Thrombosis / Q000601:surgery; D014689:Venous Insufficiency / Q000601:surgery