Der mediale Zugang zur Arteria tibialis anterior

Der mediale Zugang zur Arteria tibialis anterior Es wird der mediale, transmembranöse Zugang zur A. tibialis anterior beschrieben. Diese Schnittführung erlaubt den simultanen Zugang zu allen 3 kruralen Arterien, einschließlich Saphena magna und parva. Der mediale Zugang zur A. tibialis anterior hat mehrere Vorteile: Er erleichtert die In-situ-Bypass-Technik, er verkürzt die Operationszeit, er erlaubt eine hämodynamisch ideale Bypassführung und die Einsparung von Bypassmaterial im Vergleich zum lateralen Zugang und — besonders bedeutend — er beeinflusst kaum die Stumpfheilung für den Fall, dass nach Bypassversagen eine Unterschenkelamputation folgen musste. Gefässchirurgie Springer Journals

Der mediale Zugang zur Arteria tibialis anterior

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Copyright © 2002 by Springer-Verlag Berlin Heidelberg
Medicine & Public Health; Vascular Surgery
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