关键词: Chronic limb-threatening ischemia Gangrene Ischemia Limb Tissue loss

Mesh : Humans Endovascular Procedures / methods Ischemia / surgery etiology Chronic Disease Vascular Surgical Procedures / methods Lower Extremity / blood supply Chronic Limb-Threatening Ischemia / surgery Limb Salvage / methods

来  源:   DOI:10.1016/j.yasu.2024.04.008

Abstract:
Chronic limb-threatening ischemia is defined as ischemic rest pain or tissue loss (eg, ulceration/gangrene) that has been present for greater than 2 weeks. Workup includes a careful history, physical examination focused on evaluation of pulses and wounds, lower extremity noninvasive vascular studies (eg, ankle-brachial indices, toe pressures), saphenous vein mapping, and imaging of the lower extremity arterial anatomy (eg, computed tomography, magnetic resonance, or subtraction angiography) if a revascularization intervention is planned.
摘要:
慢性威胁肢体缺血定义为缺血性静息疼痛或组织丢失(例如,溃疡/坏疽)存在超过2周。整理包括一个仔细的历史,体检的重点是评估脉搏和伤口,下肢无创血管研究(如,踝臂指数,脚趾压力),大隐静脉标测,和下肢动脉解剖成像(例如,计算机断层扫描,磁共振,或减影血管造影),如果计划进行血运重建干预。
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