Аннотация:

Представлен обзор литературы, посвященный критической ишемии верхних конечностей у пациентов-носителей постоянного сосудистого доступа. Рассмотрены возможные этиологические причины критической ишемии и диагностические аспекты данной патологии. Продемонстрированы современные подходы к лечению критической ишемии верхних конечностей у пациентов данной группы, а также обсуждаются показания и противопоказания к тем или иным методам купирования ишемии. Особое внимание уделено эндоваскулярному методу реваскуляризации рук, который может стать методом выбора лечения больных критической ишемией кисти, обусловленной окклюзионным поражением артерий предплечья и кисти у пациентов-носителей постоянного сосудистого доступа.

 

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Аннотация:

Цель: оценить эффективность хирургического лечения травматических артерио-венозных фистул (АВФ) с использованием стент-графтов.

Материалы и методы: были успешно использованы стент-графты в лечении 4 пострадавших с посттравматическими АВФ. У 2 раненых АВФ локализовалась на уровне подвздошных сосудов, и по одному наблюдению - сосуды голени и бедра. В 3 наблюдениях повреждение магистральных сосудов было вызвано огнестрельным оружием, в одном случае - травма ножом.

Результаты: технический успех операции был достигнут во всех наблюдениях. В одном случае после рентгенэндоваскулярного устранения АВФ на уровне подвздошных сосудов в связи с появлением признаков инфицирования гематомы забрюшинного пространства потребовалось открытое хирургическое вмешательство.

Вывод: применение стент-графтов в хирургической коррекции повреждений сосудов несравненно уменьшает травматичность хирургического пособия, способствует улучшению непосредственных результатов и отдаленного прогноза. 

 

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Эндоваскулярное разобщение подвздошной артерио-венозной фистулы, возникшей после хирургического вмешательства на позвоночном диске

DOI: https://doi.org/10.25512/DIR.2014.08.1.12

Для цитирования:
М.И. Генералов, Д.Н. Майстренко, И.О. Панов, П.В. Новиков, А.А. Фокин «Эндоваскулярное разобщение подвздошной артерио-венозной фистулы, возникшей после хирургического вмешательства на позвоночном диске». Журнал Диагностическая и интервенционная радиология. 2014; 8(1); 78-83.