SU1454406A1 - Method of autovenous plasty of arteries - Google Patents
Method of autovenous plasty of arteries Download PDFInfo
- Publication number
- SU1454406A1 SU1454406A1 SU864085329A SU4085329A SU1454406A1 SU 1454406 A1 SU1454406 A1 SU 1454406A1 SU 864085329 A SU864085329 A SU 864085329A SU 4085329 A SU4085329 A SU 4085329A SU 1454406 A1 SU1454406 A1 SU 1454406A1
- Authority
- SU
- USSR - Soviet Union
- Prior art keywords
- graft
- autovenous
- arteries
- plasty
- weeks
- Prior art date
Links
- 238000000034 method Methods 0.000 title claims 2
- 210000001367 artery Anatomy 0.000 title abstract description 3
- 210000003462 vein Anatomy 0.000 claims abstract description 4
- 206010029113 Neovascularisation Diseases 0.000 claims abstract description 3
- 210000003363 arteriovenous anastomosis Anatomy 0.000 claims abstract description 3
- 230000007547 defect Effects 0.000 claims 1
- 238000002955 isolation Methods 0.000 claims 1
- 210000003752 saphenous vein Anatomy 0.000 claims 1
- 230000017531 blood circulation Effects 0.000 abstract description 2
- 239000003814 drug Substances 0.000 abstract description 2
- 238000007631 vascular surgery Methods 0.000 abstract description 2
- 230000003902 lesion Effects 0.000 abstract 1
- 230000000877 morphologic effect Effects 0.000 abstract 1
- 230000008707 rearrangement Effects 0.000 abstract 1
- 238000001356 surgical procedure Methods 0.000 description 2
- 201000001320 Atherosclerosis Diseases 0.000 description 1
- 230000001133 acceleration Effects 0.000 description 1
- 238000013130 cardiovascular surgery Methods 0.000 description 1
- 230000001684 chronic effect Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 210000000245 forearm Anatomy 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 210000003141 lower extremity Anatomy 0.000 description 1
- 238000010561 standard procedure Methods 0.000 description 1
- 208000019553 vascular disease Diseases 0.000 description 1
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- Surgical Instruments (AREA)
Abstract
Изобретение относитс к медицине, точнее к сосудистой хирургии, и предназначено дл лечени больных с окклюзионными поражени ми артериальных сосудов. Целью изобретени вл етс ускорение артериали- зации венозного трансплантата, не имеющего шунтов. Дл этого осуществл ют восстановление магистрального кровотока в артери х путем использовани аутовенозного трансплантата с руки, предварительно подготовленного наложением артериовенозного анастомоза в области лучезап стного сустава л дальнейшей тренировкой его пережатием по 5-15 мин в течение 4-6 недель. К 4-6 неделе завершаетс морфологическа перестройка стенки вены и она может быть использована в качестве трансплантата.The invention relates to medicine, more specifically to vascular surgery, and is intended for the treatment of patients with occlusive arterial lesions. The aim of the invention is to accelerate arterialization of a venous graft that does not have shunts. To do this, restore the main blood flow in the arteries by using an autovenous graft from the arm, previously prepared by applying an arteriovenous anastomosis in the area of the radiocarpal joint, by further training it by pressing for 5-15 minutes for 4-6 weeks. By week 4-6, the morphological rearrangement of the vein wall is completed and it can be used as a graft.
Description
Изобретение относитс к медицине, а именно к сосудистой хирургии и предназначено дл лечени больных с окклюзионными заболевани ми сосудов.The invention relates to medicine, namely to vascular surgery, and is intended for the treatment of patients with occlusive vascular diseases.
Цель изобретени - ускорение артериа- 5 лизации венозного трансплантата, не имеющего шунтов.The purpose of the invention is the acceleration of arterialization of a venous graft that does not have shunts.
Пример. Больной А., 43 лет, поступил в отделение сердечно-сосудистой хирургии с диагнозом: облитерирующий атеросклероз сосудов нижних конечностей, хроническа ишеми 2Б степени, окклюзи правой поверхностной бедренной артерии. За шесть недель до поступлени больному, с целью подготовки трансплантата, на левой руке наложен артерио-венозный анастомоз в области луче- t5 зап стного сустава. Больной, продолжа амбулаторное лечение, самосто тельно тренировал вену пережатием, довод экспозицию до 15 мин, 3-5 раз в день в течение 6 недель . К моменту поступлени на оперативное лечение вена на предплечье и плече у больного расширилась до 6-8 мм в диаметре , стенка ее стала упругой до такойExample. Patient A., 43 years old, was admitted to the cardiovascular surgery department with a diagnosis of atherosclerosis of the lower extremities, chronic ischemia 2B of degree, occlusion of the right superficial femoral artery. Six weeks before admission to the patient, in order to prepare the graft, an arterio-venous anastomosis was placed on the left arm in the area of the radius-tusum joint. The patient, continuing outpatient treatment, independently trained the vein by pressing, bringing the exposure to 15 minutes, 3-5 times a day for 6 weeks. By the time of admission for surgical treatment, the patient's vein on the forearm and shoulder had expanded to 6–8 mm in diameter, and its wall became elastic to
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5 five
t5 t5
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степени, что проводилась пульсова волна до локтевой мки. Произведена операци обходного аутовенозного бедренно-подколен- ного шунтировани по общеприн той методике , где в качестве трансплантата использован сегмент подготовленной вены с левой руки длиной 26 см. После операции по вилс пульс на тыльной артерии стопы, что подтвердило восстановление магистрального кровотока. В удовлетворительном состо нии больной выписан домой, заживление первичным нат жением.the extent that the pulse wave was conducted to the ulnar pulse. A bypass autovenous femoral-popliteal bypass surgery was performed according to the standard technique, where a 26-cm-long prepared arm segment was used as a transplant. After the operation, the pulse on the dorsal artery of the foot confirmed the restoration of the main blood flow. In satisfactory condition, the patient was discharged home, healing by primary tension.
Claims (1)
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU864085329A SU1454406A1 (en) | 1986-05-19 | 1986-05-19 | Method of autovenous plasty of arteries |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| SU864085329A SU1454406A1 (en) | 1986-05-19 | 1986-05-19 | Method of autovenous plasty of arteries |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| SU1454406A1 true SU1454406A1 (en) | 1989-01-30 |
Family
ID=21244333
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| SU864085329A SU1454406A1 (en) | 1986-05-19 | 1986-05-19 | Method of autovenous plasty of arteries |
Country Status (1)
| Country | Link |
|---|---|
| SU (1) | SU1454406A1 (en) |
-
1986
- 1986-05-19 SU SU864085329A patent/SU1454406A1/en active
Non-Patent Citations (1)
| Title |
|---|
| Захарова Г. И., Лосев Р. 3. Свободна аутовенозна пластика в хирургии сосудов нижних конечностей. Вестник хирургии, 1973, № 2, с. 125. * |
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