[APPLICATION OF LARGE SUBCUTANEOUS VEIN AS MATERIAL FOR DISTAL SHUNTING IN CRITICAL ISCHEMIA OF THE LOWER EXTREMITY TISSUES].
While performing autologous reconstruction of distal arteries in 24 patients in chronic critical ischemia of the lower extremity tissues the method of a large subcutaneous vein mobilization, using a ring-like desobliterator,was applied. This have permitted to reduce the procedure traumaticity, comparing with a standard method. Additional application of pharmacological vasodilatation of venous transplant have permitted to avoid the risk, connected with impact of hydraulic vasodilatation on the venous wall functional state.
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Tkachuk
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Gudz
D000368:Aged; D005260:Female; D005268:Femoral Vein / Q000473:pathology / Q000601:surgery* / Q000637:transplantation; D006801:Humans; D007511:Ischemia / Q000188:drug therapy / Q000473:pathology / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D005996:Nitroglycerin / Q000627:therapeutic use; D010208:Papaverine / Q000627:therapeutic use; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012501:Saphenous Vein / Q000473:pathology / Q000601:surgery* / Q000637:transplantation; D014182:Transplantation, Autologous; D058017:Vascular Grafting / Q000295:instrumentation / Q000379:methods*; D014664:Vasodilation / Q000187:drug effects; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents; D010208:Papaverine; D005996:Nitroglycerin