The assessment of the efficacy of surgical treatment in critical ischemia of the lower extremities by the forming of arteriovenous anastomoses
Miasnik, B.N.; Morgovskiĭ, A.I.
Khirurgiia 1992(5-6): 31-34
1992
ISSN/ISBN: 0023-1207 PMID: 1469840 Document Number: 389212
The authors show the significance of radionuclide angiography in evaluating the efficacy of surgical treatment of lower limb critical ischemia by formation of an arteriovenous anastomosis on the side of the affection. An operation for formation of an arteriovenous anastomosis on the lower third of the leg or the foot was found to be most effective. Increased perfusion of the ischemic limb on the level of balanced mixing of the blood flow was revealed in most patients, which the authors believe to be caused by venous stasis in the lower limb due to reduced difference in pressure in the arterial and venous bed. The highest percentage of favorable late--term results of the operation was revealed among this contingent of patients.