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АССОЦИАЦИЯ ФЛЕБОЛОГОВ РОССИИ :: Просмотр темы - Острая непроходимость магистральных артерий
АССОЦИАЦИЯ ФЛЕБОЛОГОВ РОССИИ
http://phlebo-union.ru/forum/

Острая непроходимость магистральных артерий
http://phlebo-union.ru/forum/viewtopic.php?f=15&t=4455		 Страница 1 из 1
Автор:  Жахангир Исмаилов [ Чт май 24, 2012 09:55 ]
Заголовок сообщения:  Острая непроходимость магистральных артерий
Уважаемые коллеги! В новой ветке старая, но не теряющая актуальности, тема. Хотелось бы пообщаться о хирургическом лечении тромбозов и эмболий артерий плечевого пояса и верхних конечностей. У нас принята следующая тактика: после УЗДГ или МСКТ под в/в анестезией обнажается проблемная артерия /при необходимости распиливается ключица/, выполняется комбинированная тромб- или эмболэктомия, резекция участка источника тромбоза с аутовенозным протезированием. Выполняется ДВАК коллатеральных локтевых артерий. При высокой ишемии фасциотомия предплечья, вскрытие карпального канала, тромбэктомия артерий запястья с промыванием ладонных дуг р-ром гепарина. Все анастомозы накладываются под опер. микроскопом в 15 крат и микроинструментами. Результаты неплохие. Поделитесь вашей тактикой!
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