Kronik aterosklerotik vasküler tıkanmalar ve cerrahi tedavisi hakkında son görüşler
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Date
1974
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Bursa Üniversitesi
Abstract
Kronik aterosklerotik damar tıkanıklığının teşhisi iyi bir klinik muayene ile konabilir. Yardımcı muayene metodları bilhassa anjiografik tetkikler, operasyon yerinin tam olarak saptanmasında ve operasyon metodunun seçilmesinde büyük-ölçüde yardımcı olur. Hastalığın tedavisi cerrahidir. Gaye tıkanmanın altında kalan bölgeye çeşitli cerrahi metotlar kullanarak yeterli kan akımının yeniden bağlanmasıdır. Bu konuda kullanılan direkt cerrahi tedavi metodları üç grupta toplanır. 1-Trombo Endarterectomia, 2-By-pass, 3-Rezeksiyon ve gref. Tromboendarterektomi ve by-pass bugün için tercih edilen metodlardır. Tıkanmanın yanı sıra birde anevrizma varsa rezeksiyon ve gref metodu kullanılabilir. Tromboendarterektomi Kısa mesafeli segmanter tıkanmalarda, by-pass ise uzun mesafeli iliak arter tıkanmalarında ve aort bifurkasyonunun total tıkanmalarında tercih edilir. Distalde koronasyon tıkanmalarının mecburiyeti halinde direkt medoda lomber sempatektominin ilave edilmesi taınir ameliyatının başarı şansını arttırır. Hastalığın ilerlemesini geciktirmek, hastayı preoperatif devrede operasyona hazırlamak amacıyla tıbbi tedaviden istifade edilir.
The Last view about the Chronic atheroselerotic vascular obstuction and their surgical treatment Chronic obstruction of atherosclerotic blood vessels can be diagnosed with a careful clinical examination. Other diagnostic methods, especially angiographic studyings can help us to localize the exact area of operation and to choose the suitable operation technic. İts Treatment is surgical. The aim of the treatment is to operate the area beneath the obstruction in order to supply enough blood perfusion to this area. Direct operation methods which are used now can be classified as: 1-Thromboendarterectomy, 2-By-pass, 3- Resection and graft. At present, thromboendarterectomy and by-pass are preferred as a treatment of choice.If obstruction is accompanied by an aneurysm,resection and graft method can be used. Thromboendarterectomy method is used in short distance segmental· obstructions, and in total obstructions of aorta bifurcations and long distance obstructions of iliac arteries bypass method is preferred.In the presence of combined obstructions in the distal area, success of the repairing surgery is increased by the addition of lumbar sympathectomy to the usual direct method. In order to delay the progression of the disease and to prepare the patient for the operation, medical treatment is used.
The Last view about the Chronic atheroselerotic vascular obstuction and their surgical treatment Chronic obstruction of atherosclerotic blood vessels can be diagnosed with a careful clinical examination. Other diagnostic methods, especially angiographic studyings can help us to localize the exact area of operation and to choose the suitable operation technic. İts Treatment is surgical. The aim of the treatment is to operate the area beneath the obstruction in order to supply enough blood perfusion to this area. Direct operation methods which are used now can be classified as: 1-Thromboendarterectomy, 2-By-pass, 3- Resection and graft. At present, thromboendarterectomy and by-pass are preferred as a treatment of choice.If obstruction is accompanied by an aneurysm,resection and graft method can be used. Thromboendarterectomy method is used in short distance segmental· obstructions, and in total obstructions of aorta bifurcations and long distance obstructions of iliac arteries bypass method is preferred.In the presence of combined obstructions in the distal area, success of the repairing surgery is increased by the addition of lumbar sympathectomy to the usual direct method. In order to delay the progression of the disease and to prepare the patient for the operation, medical treatment is used.
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Keywords
Kronik aterosklerotik, Vasküler tıkanmalar, Cerrahi tedavi, Vascular occlusions, Surgical treatment, Chronic atherosclerotic
Citation
Kutlay, B. (1974). ''Kronik aterosklerotik vasküler tıkanmalar ve cerrahi tedavisi hakkında son görüşler''. Bursa Tıp Fakültesi Dergisi, 1(1), 51-62.