[Revascularization of limb blood supply by arterialization of vein in extensive arterial oblitery ischemia].
OBJECTIVE
To investigate the effect of arterilization of veins in treatment of extensive arterial oblitery ischemia of limbs.


METHODS
Eighteen lower limbs and six upper limbs with symptoms of chronic ischemia were diagnosed as having extensive occlusion of the major arteries by color-Doppler Ultrasonic Scanning and DSA. According to the level of occlusion, the involved limbs were treated by arterilization of veins in one-stage.


RESULTS
During hospitalization, one lower limb was amputated. Seventeen lower limbs and six upper limbs were followed up for 3 to 26 months. Among them, one lower limb was amputated for necrosis of toes after 3 months; the outcomes of the others were satisfactory. By Doppler scanning, the arterial blood flow was observed after operation.


CONCLUSIONS
Arterilization of veins in extensive arterial oblitery ischemia of limbs is a simple and effective treatment with good results.
He
Yan-zheng
YZ
Department of Vascular Surgery, Affiliated Hospital of Luzhou Medical College, Luzhou Sichuan, P. R. China 646000. Heyz@lz-public.sc.cninfo
Zheng
Hong
H
Zhong
Wu
W
D000328:Adult; D000368:Aged; D015901:Angiography, Digital Subtraction; D001162:Arteriosclerosis Obliterans / Q000601:surgery*; D005121:Extremities / Q000098:blood supply*; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005268:Femoral Vein / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013919:Thromboangiitis Obliterans / Q000601:surgery*; D018615:Ultrasonography, Doppler, Color