1.Significance and key points of amendment in situ autologous great saphenous vein arterialization for the treatment of lower extremity arterial ischemia
Ye TIAN ; Xinxi LI ; Lei ZHANG ; Chao BAI ; Zhenwei YANG ; Muerzati HALIMURAT· ; Jun LUO ; Yeerbao ZAIYING· ; Xiangxiang RU ; Wenbin ZHANG
International Journal of Surgery 2024;51(11):729-733
With the development of population aging, the incidence of lower limb artery ischemic diseases is gradually increasing. Although various treatments such as medication and endovascular surgery are currently available, patients with compromised microcirculation in the distal limbs and poor outflow pathways often do not achieve satisfactory results. Additionally, these treatments can be costly, and long-term patency rates are not ideal. The amendment in situ autologous great saphenous vein arterialization surgery utilizes the patient′s great saphenous vein to provide arterial blood in a retrograde manner and re-establishes blood supply to the tissues through the venous microcirculation system in the distal foot. This approach can achieve good limb salvage results and long-term patency. Therefore, this article aims to elaborate on the methods and value of amendment in situ autologous great saphenous vein arterialization surgery.