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《Chinese Journal of Reparative and Reconstructive Surgery》 2006-09
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MICROSURGICAL TREATMENT OF ARTERIAL OCCLUSION IN LOWER EXTREMITY

JIANG Wenping, ZHAO Shaoping, LIU Dequn. Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan Hebei, 063000, P.R. China  
Objective To investigate the procedure and clinical effect of revascularization for arterial occlusion in lower extremity. Methods From July 1998 to March 2005, 29 cases of arterial occlusion were treated by microsurgery. Of 29 cases, there 22 males and 7 females, aging 22-86 years, including 9 cases of thromboangiitis obliterans(TAO), 17 cases of arterial sclerosis obstruction(ASO) and 3 cases of diabetic foot(DF). The location was the left in 17 cases, the right in 11 cases and both sides in 1 case. All cases were inspected by color-Doppler ultrasonic scanning before operation. The cases of ASO and DF were checked with MRA. The results of examinations showed that the locations of arteriostenosis and obstruction were: in 9 cases of TAO, the distal superficial femoral artery in 3 cases, popliteal artery in 5 cases, bilateral dorsal metatarsal artery in 1 case; in 17 cases of ASO, common iliac artery in 2 cases, external iliac artery in 4 cases, femoral artery in 10 cases and popliteal artery in 1 case; and were all superficial femoral artery in 3 cases of DF. DSA examination confirmed that there was appropriate outflow in 15 cases. Basing on the location and extent of the arterial occlusion, 11 cases were treated by the primary deep vein arterializing, 16 cases by arterial bypass distribution and 2 cases of extensive common iliac arterial occlusion were amputated in the level of 1/3 distal thigh. Results The postoperative duration of follow-up for all cases was 3 months to 7 years. In 9 cases of TAO, 2 healed by first intention after deterioration, 4 healed after changing dressing and 3 had fresh soft tissue growth after debrided superficial secondary necrosis. In 17 cases of ASO, 13 healed by first intention, 2 healed after changing dressing and 2 were amputated. In 3 cases of DF, 2 healed after changed dressing and debrided, 1 was aggravated with the second toe necrosis. Conclusion Performing primary deep vein-arteriolization and arterial bypass distribution is effective for treatment of arterial occlusion of lower extremity. The arterial reconstructive patency rate can be improved by microsurgical treatment.
【CateGory Index】: R654.3
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【References】
Chinese Journal Full-text Database 1 Hits
1 ZHANG Xiansheng,GUO Hongjie,WANG Weiliang.Department of Vascular Surgery,the First Hospital of Peking University,Beijing,100034,P.R.China;INDIVIDUAL REVASCULARIZATION FOR TREATMENT OF MULTILEVEL ARTERIAL OCCLUSIVE DISEASE OF LOWER EXTREMITY[J];Chinese Journal of Reparative and Reconstructive Surgery;2007-07
【Citations】
Chinese Journal Full-text Database 5 Hits
1 GUO Lian -ru i*, GU Yong-quan, ZHANG Jian, et al.*Department of Vascular Surgery, Xuan Wu Hospital, Institute of Vascular Surgery, Capital University of Medical Scie nces, Beijing 100053, China;Autologous transplantation of bone-marrow mononuclear cells for treating patients with diabetic feet[J];Chinese Journal of Diabetes;2004-05
2 YU Yong-shan, ZHAO Tang-hai, WANG Hai-bo, XIE Yuan-feng,GUO Ming-jin,QI Xiu-yan. Department of Vascular Surgery, the 107th Hospital of PLA, Yantai 264002,China;Clinical analysis of staged arteriovenous shunts for the treatment of arterial occlusive disease of the limbs[J];Chinese Journal of General Surgery;2005-05
3 CHEN Xing-sheng, LING Ting, GUAN Yun-biao, CHEN Da-liang ( Department of Vasscular Surgery, Union Hospital, Fujian Medical Unive rsity, Fuzhou 350001,China);Treatment of arterial occlusion of lower extremities[J];Chinese Journal of General Surgery;2004-01
4 HE Yan zheng, Zheng Hong, Zhong Wu, et al. Department of Vascular Surgery, the Affiliated Hospital of Luzhou Medical College, Luzhou Sichuan, P. R. China 646000.;REVASCULARIZATION OF LIMB BLOOD SUPPLY BY ARTERIALIZATION OF VEIN IN EXTENSIUE ATERIAL OBLITERY ISCHEMIA[J];Chinese Journal of Reparative and Reconstructive Surgery;2002-06
5 SUN Jian ming 1* , SHI De 1, ZHAO Yu 1, HUANG Xiao ling 2, LI Xin you 3, LV Fa jin 3, TU Bo 2(1.Department of Vascular Surgery, 2.Department of Ultrasonography, 3.Department of Radiology, College of Clinical Medicine, Chongqing University of Medical Sciences, Chongqing, 400016 China);Representation of pseudoaneurysm and traumatic arteriovenous fistula models in CDFI, CTA, MRA and DSA[J];Chinese Journal of Medical Imaging Technology;2005-01
【Co-citations】
Chinese Journal Full-text Database 10 Hits
1 Xu Dechun, Li Xu, Shen Weixing Department of General Surgery, Qingpu Division of Zhongshan Hospital, Shanghai 201700;A strategy study for treatment of chronic venous insufficiency in lower limb[J];Anhui Medical Journal;2009-06
2 Si Chunqiang,Hu Jiqiong,Xue Qingquan,et al Department of Vascular Surgery,Yijishan Hospital,Wannan Medical College,Wuhu 241001;Surgical treatment of acute limb arteriate embolism[J];Anhui Medical Journal;2009-07
3 HANG Yuan-ying1,YUAN Peng2,ZHOU Yue2,YANG Yu-sheng3(1.Department of Endocrinology,2.Department of Orthopedics,Wuxi People's Hospital,WuXi Jiangsu 214023;3.Department of Orthopedics,Wuxi 2nd People's Hospital,Wuxi Jiangsu 214002,China);Strauss classify screen and therapy strategy for keeping limbs of diabetic foot[J];Journal of Bengbu Medical College;2009-12
4 LI Naixuan1 YU Lamei2 Wang Wenming1 et al 1 Department of Interventional Medicine,Affiliated Hospital of Binzhou Medical University,Binzhou 256603;2 Department of Physiology,Binzhou Medical University;The diagnosis and treatment of pulmonary embolism after interventional therapy of Budd-Chiari syndrome[J];Journal of Binzhou Medical University;2007-01
5 HAN Jian ming, LI Wei su, WU Xing jiang, LI Jie shou (Research Institute of General Surgery,Nanjing General Hospital of Nanjing Command, Nanjing 210002, Jiangsu, China);Bowel nutritional rehabilitation therapy for gut dysfunction after acute mesenteric artery ischemia[J];Parenteral & Enteral Nutrition;2004-04
6 LI Cheng-xue,WANG Bo-tao,LI Jian-hong,ZHANG Hong. Department of Cardiology,Angang general Hospital,Henan,Anyang(455004);Clinical effect of endovascular interventional treatment for Lower extremity arterial occlusive disease[J];Contemporary Medicine;2011-05
7 WU Shi-bai,YUAN Qun,SHI Guo-zhen,TONG Ao,ZHAO Na,XIAO Li,ZHANG Da,WANG Liang-chen,TANG HongDepartment of Endocrinology,General Hospital of Air Force of PLA,Beijing 100036,China;Ultrasound ablation combined with balloon angioplasty for treatment of diabetic patients with arteriosclerosis obliteration of lower extremity and diabetic foot[J];Academic Journal of Second Military Medical University;2008-10
8 ;Pathological analysis of sudden death due to aortic dissection[J];Academic Journal of Second Military Medical University;2009-08
9 WANG Shaohua,SUN Shoudong,WANG Xu,WU Hongying,ZHAO Runfang,WEN Min(Second Internal Medicine Department of the Sixty Center Hospital of PLA,Dali,Yunnan 671003,China);The Clinical Analysis of 22 Cases with Diabetic Foot Receiving Autologous Bone Marrow Stem Cell Transplantation (ABMSCTP) Therapy[J];Journal of Dali University;2010-08
10 ;Nursing of patients with diabetic foot treated by autologous bone marrow stem cell transplantation[J];Acta Academiae Medicinae Militaris Tertiae;2005-16
China Proceedings of conference Full-text Database 2 Hits
1 GE Sheng-jie, SHEN Fei-xia, WU Wen-jun, et al. Department of Endocrinology, the First Affiliated Hospital of Wenzhou Medical College, Wenzhou, 325000;Autologous peripheral blood stem cells transplantation in the treatment of refractory diabetic foot.[A];[C];2006
2 ;Endovascular stenting combined with conventional surgery for the treatment of multilevel atherosclerotic occlusive diseases in lower limb[A];[C];2008
【Co-references】
Chinese Journal Full-text Database 6 Hits
1 Sun Hongbo,Xia Shengmei,Wang Mei,et al. Institute of Hematology & Blood Diseases Hospital,Chinese Academy of Medical Scienes & Peking Union Medical College,Tianjin 300020,China.;Investigation into the change of plasma level of VEGF and TGF-β in patients with diabetic lower limb arteriosclerosis obliterans by transplantation of autologous peripheral blood stem cells.[J];Chinese Journal of Practical Internal Medicine;2006-05
2 WANG Ling, LIU Yan, LIANG Lu-guang, FU Yan (The frist hospital of Jilin University endocrine department, Changchun Jilin 130021, China; The public physics and research center of Jilin University, Changchun Jilin. 130021, China);Two Physical Indexs' Change after Treated Diabetic Foot by Using Batroxobin[J];Chinese Journal of Medical Physics;2005-01
3 ZHOUYing-sheng JIANG Lei PAN Qi WANG Ai-hong LI Qiang BIAN Rong-wen DU Yu-ming WANG Peng-hua LIN Shao-da CHEN Guo-chang XU Zhang-rong. Department of Endocrinology and Metabolism,Beijing Hospital,Beijing 100730,China;Arterial lesions of lower extremity and metabolic disorders in diabetic patients aged over forty years[J];Chinese Journal of Geriatrics;2006-04
4 WANG Ling, DONG Shu-min,JIANG Qiao-zhen,NAN Jing-long, LIU Yong-gang, LI Shi-rong,FENG Xiao-mei. * Department of Cardiology, Inner Mongolia Region′s Hospital, Hohhot 010017,China;Autologous peripheral blood stem cell transplantation for the treatment of lower extremity arterial occlusive disease[J];Chinese Journal of Cardiology;2006-04
5 HUANG Ping-ping,LI Shang-zhu,HAN Ming-zhe, XIAO Zhi-jian, YANG Ren-chi,QIU Lu-gui, QIAN Guan-qing, FU Ren-min, ZHENG Ya-li, LIU Chun-hua, XU Xiu-qiang, LI Jun-fan, HAN Zhong-chao. Institute of Hematology & Blood Diseases Hospital,National Research Center of Stem Cell Engineering & Technology, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin 300020,China Corresponding author: HAN Zhong-chao;Transplantation of autologous peripheral blood stem cells for the treatment of lower limb arteriosclerosis obliterans[J];Chinese Journal of Hematology;2003-06
6 LI Tian-xiao*, XIE Jing-xia (Department of Radiology, Peking University Third Hospital, Beijing 100083, China);Percutaneous transluminal angioplasty in infrapopliteal arteries: initial experience[J];Chinese Journal of Medical Imaging Technology;2007-03
【Secondary References】
Chinese Journal Full-text Database 2 Hits
1 PAN Zhao-chun,ZHU Xin,ZHU Jin-rong,YU Xiao-li,ZHONG Qing-fang,TANG Liang (Affiliated Hospital of Nanjing University Chinese Medicine,Nanjing 210029,Jiangsu,China);Arteriosclerosis Lesion CTA Value and the Treatment of TCM[J];Journal of Liaoning University of Traditional Chinese Medicine;2010-05
2 SHI Tian-xiong,MIAO Jian-hang,HU Xi-xiang.The Second Department of General Surgery,Zhongshan City People’s Hospital,Zhongshan 528403,Guangdong Province,China;Experience of Arteriosclerosis Obliterans of Lower Extremities by Endovascular Treatment[J];Chinese Journal of Bases and Clinics in General Surgery;2010-07
【Secondary Citations】
Chinese Journal Full-text Database 10 Hits
1 Liu Changjian, Liu Chen,Qiao Tong, Huang Dian (The Affiliated Drum Tower Hospital of Nanjing University Medical School, Department of Vascular Surgery, Nanjing, 210008, China);Operative Procedure for Aortoiliac Occlusive Disease[J];Journal of Naijing University (Natural Sciences);2002-05
2 JIANG Mi-er,LU Min,HUANG Xin-tian,ZHANG Pei-hua Department of Vascular Surgery, The Ninth People' s Hospital, Shanghai Second Medical University (Shanghai 200011, China);Revascularization of severely ischemic limbs by staged arteriovenous reversal[J];Chinese Journal of Current Advances in General Surgery;2001-03
3 Chen Xi-ngsheng, Lin Ting, Chen Daliang, et al. Department of Vascular Surgery, Union Hospital, Fujian Medical University, Fuzhou(350001);Venous Arterialization in the Treatment of Extensive Arterial Occlusion of the Lower Extremities[J];Journal of Surgery Concepts & Practice;1998-04
4 Gu Yongquan, John P Royle. (Vascular Surgery Unit of Beijing Tongren Hospital, Beijing, China 100730;Vascular Surgery Unit of Austin & Repatriation Medical Centre, Melbourne, Australia 3084);Determination of Amputation Level in Ischemic Lower Limbs[J];Journal of Surgery Concepts & Practice;2001-05
5 Gu Yongquan,Zhang Jian,Yu Hengxi,et al.Institute of Vascular Surgery,Capital University of Medical Sciences;Vascular Surgery Unit,Xuanwu Hospital,Capital University of Medical Sciences,Beijing 100053,China;Surgical treatment for diabetic foot using distal arterial bypass grafting in lower limbs:a report of 46 cases[J];Chinese Journal of Practical Surgery;2003-08
6 LI Jianchu,CAI Sheng,JIANG Yuxin,et al.Department of Ultrasound,Peking Union Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China;Color Doppler flow imaging appearance of pseudoaneurysm and its clinical value[J];Chinese Journal of Uitrasonography;2001-08
7 Qu Ming,Yu YongShan,Jiang TianJun,et al.Third De- partment of Surgery,107 Hospital of People's liberation Army,264002.;Experimental and Clinical Study on Revascularization of Severely Ischemic Limb by Arteriovenous reversal[J];Clinics in General Surgery;1995-03
8 Jiang Mi-Er, et al (The 9th People,s Hospital, Shanghai Second Medical University, Shanghai 200011.);Study on changes of the venous structure and biochemistry after staged arteriovenous reversal[J];Chinese Journal of Experimental Surgery;1994-05
9 Zheng Yumin,Xu Yongnian, Sun Hongtao,et al.Wuhan General Hospital of Guangzhou Military Region,People′s Liberation Army,Wuhan 430070.;Setting up animal model of traumatic pseudoaneurysm: experimentsal and clinical study[J];Chiese Journal of Surgery;1998-02
10 Jiang Mier, Lu Min, Huang Xintian, et al. Department of Vascular Surgery, Ninth People's Hospital, Shanghai Second Medical University, Shanghai 200011;STUDY ON THE ROLE OF THE PROFUNDA FEMORIS IN THE TREATMENT OF THE LOWER ISCHEMIC LIMBS[J];CHINESE JOURNAL OF BASES AND CLINCS IN GENERAL SURGERY;1998-05
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