The use of Gore-tex artificial blood vessel in staged operation of arterialization was adopted in 19 cases having severe isehemic disorders of the lower extremities. Following 3 to 29 months after operation. with an average follow-up of 16.2 months. 16 cases had obtained better results, one cases had amputation because of thrombosis of the femoral artery and another one had developed thrombosis in the deep vein of the leg. It was considered that the application of short- sized Gore-tex artificial blood vessel in staged operation of arterialization to treat severe ischemic disorders of the lower extremities could provide satisfactory clinical resulst.
Objective To investigate the effect of arterilization of veins in treatment of extensive arterial oblitery ischemia of limbs . Methods Eighteen lower limbs and six upper limbs with symptoms of chronic ischemia were diagnosed as having extensive occlusion of the major arteries by color Doppler Ultrasonic Scanning and DSA. According to the level of occlusion, the involved limbs were treated by arterilization of veins in one stage. Results During hospitalization, one lower limb was amputated. Seventeen lower limbs and six upper limbs were followed up for 3 to 26 months. Among them, one lower limb was amputated for necrosis of toes after 3 months; the outcomes of the others were satisfactory. By Doppler scanning, the arterial blood flow was observed after operation. Conclusion Arterilization of veins in extensive arterial oblitery ischemia of limbs is a simple and effective treatment with good result.