[The treatment of obliterating arterial diseases of the extremities by a revascularizing osteotrepanation method].
A new method to treat obliterative atherosclerosis and thromboangiitis is proposed. The method consists in local osteal trepanation of the ischemic extremity. The access to the bones was preferably performed in bioactive points. The operation called osteotrepanation was performed in 307 patients. 219 of them had obliterative atherosclerosis, 75--thromboangiitis obliterans, 13--Raynaud's disease. In 63% of patients there was 3d and 4th stage of extremity ischemia. In 90.5% of patients improvement was observed. After 1 year the improvement of blood circulation in the extremity was observed in 92.8% of patients, after 5 years--in 92,8% also. Revascularizing osteal trepanation is a method of choice in thromboangiitis obliterans and in impossibility to perform reconstructive surgery in case of grafts thrombosis.
Zusmanovich
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D001157:Arterial Occlusive Diseases / Q000503:physiopathology / Q000601:surgery*; D001842:Bone and Bones / Q000098:blood supply / Q000601:surgery*; D002908:Chronic Disease; D003097:Collateral Circulation; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000503:physiopathology / Q000601:surgery; D007866:Leg / Q000098:blood supply* / Q000601:surgery; D008722:Methods; D012074:Remission Induction