Surgical Treatment of Buerger's Disease: Experience with 216 Patients
Autor: | Ahmet Kürşat Bozkurt, Mehmet Ozer, Ayla Gürel Sayin, G Erdog, Hasan Tüzün, F. S. Vural |
---|---|
Rok vydání: | 1993 |
Předmět: |
Buerger's disease
medicine.medical_specialty medicine.diagnostic_test business.industry Vascular disease medicine.medical_treatment Retrospective cohort study medicine.disease Revascularization Surgery Lumbar Sympathectomy Amputation Angiography Medicine Radiology Nuclear Medicine and imaging Cardiology and Cardiovascular Medicine business |
Zdroj: | Cardiovascular Surgery. 1:377-380 |
ISSN: | 0967-2109 |
Popis: | Buerger's disease (thromboangiitis obliterans) is a rare peripheral vascular disease that usually affects young male smokers. It is characterized by multiple occlusions distal to the knee and elbow. Although rarely encountered in this condition, major arterial occlusions can be corrected by arterial revascularization. The hospital records of 216 patients (214 men and 2 women) with Buerger's disease were reviewed retrospectively, 142 (66%) between 1 and 120 (mean(s.d.) 72.8(24)) months after diagnosis. Of these patients 21 had had an arterial revascularization: 183 lumbar and 20 thoracic sympathectomies had been performed. In 30 of the patients a total of 29 minor and four major amputations had been performed. In appropriate cases arterial reconstruction provides better healing of ischaemic lesions. Although vasomotor tone is usually normalized in 2 weeks to 6 months after sympathectomy, the temporary increase in blood flow is often sufficient to heal ischaemic lesions during this period. |
Databáze: | OpenAIRE |
Externí odkaz: |