A novel approach to deep venous arterialization using WavelinQ EndoAVF technology.

使用 WavelinQ EndoAVF 技术进行深静脉动脉化的新方法。

• 发表时间: 2024 Jun
• 来源期刊: J Vasc Surg Cases Innov Tech
• DOI: 10.1016/j.jvscit.2023.101407
• PMID: 38633578
• 文章类型: Case Reports
• 作者列表: Pickering OK,Ramachandren TK,Mortensen R,Delaney CL

关键词: Chronic limb threatening ischemia; Deep venous arterialization; Endovascular technique

Abstract

Deep venous arterialization is increasingly being considered for the management of patients with \"no option chronic limb threatening ischemia\" (CLTI) who would otherwise require a major limb amputation. WavelinQ (Becton Dickinson) is a new technology increasing in popularity for its role in the formation of endovascular arteriovenous fistulas but might well have applications in other areas of vascular surgery. We present a novel approach to deep venous arterialization using WavelinQ arteriovenous fistula technology for a patient with nonreconstructable chronic limb threatening ischemia experiencing both rest pain and forefoot gangrene. The patient\'s early tissue loss healed and he remained symptom free at 6 months after the intervention.

摘要

越来越多地考虑将深静脉动脉化用于“无选择的慢性威胁肢体缺血”（CLTI）患者的治疗，否则需要进行肢体截肢。WavelinQ（BectonDickinson）是一种新技术，因其在血管内动静脉瘘形成中的作用而越来越受欢迎，但很可能在血管外科的其他领域也有应用。我们提出了一种使用WavelinQ动静脉瘘技术进行深静脉动脉化的新方法，该方法适用于患有不可重建的慢性威胁肢体缺血的患者，同时经历静息疼痛和前足坏疽。患者的早期组织损失愈合，他在干预后6个月保持无症状。