Local Regulation of Blood Flow and the Occurrence of Edema after Arterial Reconstruction of the Lower Limbs
| Autor: | H C Engell, J H Eickhoff |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
Adult
Male Arterial Occlusive Diseases Blood Pressure Hyperemia Arterial reconstruction Dissection (medical) Thigh Postoperative Complications Edema Humans Medicine Popliteal Artery Lymphedema Aged Leg Foot business.industry Perioperative Blood flow Middle Aged medicine.disease Femoral Artery medicine.anatomical_structure Blood pressure Regional Blood Flow Vasoconstriction Anesthesia Female Surgery medicine.symptom business Blood Flow Velocity Research Article |
| Zdroj: | Annals of Surgery. 195:474-478 |
| ISSN: | 0003-4932 |
| DOI: | 10.1097/00000658-198204000-00015 |
| Popis: | The relation between edema after arterial reconstruction of the lower limbs and various potential etiologic factors, including disturbances in local blood flow regulating mechanisms, was investigated in 22 patients with occlusive arterial disease. The occurrence of edema was unrelated to the severity of symptoms as well as to the perioperative changes in distal arterial blood pressure. Postreconstructive edema developed independently of postreconstructive hyperemia and of disturbances in the local vasoconstrictor response to increased venous pressure. The decisive factor for development of edema was the extensive dissection in the thigh and in the popliteal region required for femoropopliteal bypass surgery. Edema developed after nine of nine femoropopliteal bypass operations, and only after one of 12 reconstructions in the aorto-iliac or in the profound femoral segments (p = 0.001). It is concluded that the postreconstructive edema is a lymphedema due to surgical trauma, rather than the result of microvascular derangement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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