PDF(Pubmed)
Abstract：
Patients with no-option chronic limb-threatening ischemia are not candidates for conventional revascularization options and will inevitably require major amputation. Deep venous arterialization (DVA) is a potential option for these patients. A complete endovascular system to perform DVA has recently received great acclaim and US Foor and Drug Administration approval. However, patients with severe tibial medial calcinosis such as those with diabetes or renal failure may not be candidates for this because most endovascular needles cannot penetrate severe calcium. Here we describe a novel hybrid approach to DVA that provided technical success in three patients with end-stage renal disease and severe medial calcinosis.
摘要：
无选择的慢性威胁肢体缺血的患者不是常规血运重建的候选人，并且不可避免地需要大截肢。深静脉动脉化（DVA）是这些患者的潜在选择。一个完整的血管内系统进行DVA最近获得了广泛的赞誉和美国食品和药物管理局的批准。然而,严重的胫骨内侧钙质沉着症患者,如糖尿病或肾功能衰竭患者,可能不适合这种情况,因为大多数血管内针无法穿透严重的钙质.在这里，我们描述了一种新型的DVA混合方法，该方法在三名患有终末期肾病和严重内侧钙质沉着症的患者中取得了技术成功。
