Wyniki wyszukiwania

1

Compensating crural anastomoses in chronic critical limb ischaemia

100%

Szpinda M.

Folia Morphologica

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2005

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tom 64

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nr 1

17-21

Compensating crural anastomoses develop in patients with multi-level occlusion of the calf arteries in the course of atherosclerosis, arteriitis, diabetes, and in vascular malformations of the limbs. The peroneal artery is frequently the only patent calf vessel, especially in diabetic patients who have advanced tibial occlusive disease. The purpose of this study was to identify different types of compensating crural anastomoses in chronic critical limb ischaemia. Using combined anatomical-radiographic and statistical methods, 86 compensating crural anastomoses were studied in 59 specimens of lower limbs (amputated at the thigh) in the course of chronic critical ischaemia. Three types of compensating crural anastomosis and their components were identified. The most common type (55.8%) was the posterior tibioperoneal anastomosis. Less common (23.3%) was the intertibial anastomosis and least common (20.9%) the anterior tibioperoneal anastomosis. The posterior tibioperoneal anastomosis was concurrent with anterior tibioperoneal anastomosis in 26.3% of cases and with the intertibial anastomosis in 15.3% of cases. The great importance of the peroneal artery in the formation of natural crural collateral circulation should encourage vascular surgeons to consider peroneal bypasses.

2

Role of anti-HSP 60/65 antibodies in atherogenesis in patients with type 2 diabetes and lower limb ischemia

84%

Rabczynski M., Fiodorenko-Dumas Z., Adamiec R., Paprocka-Borowicz M., Dumas I.

Journal of Physiology and Pharmacology

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2012

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tom 63

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nr 6

3

External diameters of the crural arteries in patients with chronic critical limb ischaemia

84%

Szpinda M.

Folia Morphologica

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2005

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tom 64

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nr 4

315-320

Knowledge of the diameters of the crural arteries forms the basis for reconstructive vascular surgery and percutaneous angioplasty. The external diameters of the crural arteries were examined in 152 specimens of lower limbs by anatomical, digital and statistical methods. The diameters of all the crural arteries were significantly greater (p ≤ 0.01) in the male subjects. The differences between the right and left arterial diameters were statistically significant (p ≤ 0.01) only in relation to the posterior tibial artery. In subtypes IC and IIB the anterior tibial artery was the strongest, the peroneal artery was of intermediate diameter and the posterior tibial artery was the weakest. In subtype IB the anterior tibial artery presented as the predominant vessel but in subtypes IIA-1 and IIA-2 it was the posterior tibial artery that did so. In subtype IA 24 examples of the coexistence of angiometric variants of the crural arteries were distinguished. It was demonstrated that the strongest vessel was the anterior tibial artery (32.24%), rarely the posterior tibial artery (14.47%) or the peroneal artery (9.87%). In most cases (21.71%) three of the crural arteries had intermediate diameters. In 13.16% of cases there were two arteries of intermediate diameter, the posterior tibial and the peroneal, which accompanied a strong anterior tibial artery and, the least common variant (6.58%), two intermediate tibial arteries with a weak peroneal artery. A hyperplastic peroneal artery (6.59%) compensated for either the anterior tibial artery (1.98%) or the posterior tibial artery (4.61%).

Ograniczanie wyników

2 Folia Morphologica

1 Journal of Physiology and Pharmacology

2 Szpinda M.

1 Adamiec R.

1 Dumas I.

1 Fiodorenko-Dumas Z.

1 Paprocka-Borowicz M.

1 Rabczynski M.

1 2012

2 2005

Compensating crural anastomoses in chronic critical limb ischaemia

Role of anti-HSP 60/65 antibodies in atherogenesis in patients with type 2 diabetes and lower limb ischemia

External diameters of the crural arteries in patients with chronic critical limb ischaemia