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フルテキストURLフルテキストリンクなし
タイトルLimb salvage としての動・静脈瘻併施血行再建術の意義
タイトルヨミlimb salvage ト シテノ ドウ ジョウミャク ロウセ ケッコウ サイ ケンジュツ ノ イギ
タイトル別表記Adjunctive artetioveneous fistura with tibial reconsrtuction for limb salvage
作成者相川, 裕之
久我, 貴之
鶴岡, 顕太郎
三隅, 弘三
西山, 利弘
江里, 健輔
作成者ヨミアイカワ, ヒロユキ
クガ, タカユキ
フジオカ, ケンタロウ
ミスミ, コウゾウ
ニシヤマ, トシヒロ
エサト, ケンスケ
作成者別表記Aikawa, Hiroyuki
Kuga, Takayuki
Fujioka, Kentaroh
Misumi, Kohzo
Nishiyama, Toshihiro
Esato, Kensuke
作成者所属山口大学医学部
内容記述(抄録等)Between December, 1979, and November, 1987, arterial reconstructive procedure were performed on 7 patients (7 limbs) with the creation of an arterio-venous fistula (AVF) at the site of pisterior or anterir tibial anastomosis, which included femoro-popliteal-posterior tibial bypass in 3 of the patients, popliteal-posterior tibial bypass in 1, femoro-anterior tibial bypass in 1 and thromboend-arterectomy and/or throbbectomy of the lower extremity in 2. The AVF at the distal anastomosis was created by suturing the end-artey-to-side vein in the first two cases, while in the remaining five cases it was done by suturing the back walls of the artery and adjacent vein together and sewing the distal graft to the common ostium (Dardik method). A threat to limb survival that would otherwise rewuire major limb amputation was the indication for the need of operation ; 5 patients had the actue arterial thrombosis. Out of 7 patients, 5 were fournd to be functioning at the time of the hospital discharge. OF two patients with closure of fistula, one patient required below-knee amputation 3 days after arterial reconstruction and another above-knee amputation 77 days after surgery. The graft function to be presented (September, 1988) was achieved in only one of four cases, expect one case which was lost during follow-up. The current status of patients with graft and fistula occulusion reveals no rest pain. Adjunctive AVF is justified in selected cases where conventional bypass failure is predictable by increased pedal vascular resistance.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
38
5
開始ページ365
終了ページ369
発行日1989-10
著者版/出版社版その他
リポジトリIDB030038000503
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030038000503