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Revascularization

From Wikipedia, the free encyclopedia
Medical treatment to restore perfusion to a body part that has had ischemia
This article is about surgical revascularization. For physiological revascularization, seeAngiogenesis andNeovascularization.
Medical intervention
Revascularization
ICD-9-CM36.10,36.2,36.33,36.34

In medical and surgicaltherapy,revascularization is the restoration ofperfusion to a body part ororgan that has hadischemia. It is typically accomplished bysurgical means.[1]Vascular bypass andangioplasty are the two primary means of revascularization.

The term derives from the prefixre-, in this case meaning "restoration" andvasculature, which refers to the circulatory structures of an organ.

It is often combined with "urgent" to form urgent vascularization.

Revascularization involves a thorough analysis anddiagnosis and treatment of the existing diseased vasculature of the affected organ, and can be aided by the use of different imaging modalities such asmagnetic resonance imaging,PET scan,CT scan, andX-ray fluoroscopy.[citation needed]

Applications

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Forcoronary artery disease (ischemic heart disease),coronary artery bypass surgery andpercutaneous coronary intervention (coronary balloon angioplasty) are the two primary means of revascularization.[2] When those cannot be done,transmyocardial revascularization or percutaneous myocardial revascularization, done with a laser, may be an option.

Treatment forgangrene often requires revascularization, if possible.[3] The surgery is also indicated to treatischemic wounds (inadequatetissue perfusion) in some forms ofchronic wounds, such asdiabetic ulcers.[4]

References

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  1. ^"Revascularization".Medical Dictionary. The Free Dictionary. Retrieved24 March 2013.
  2. ^Kalyanasundaram, Arun (April 5, 2012)."Comparison of Revascularization Procedures in Coronary Artery Disease".Drugs, Diseases, and Procedures.Medscape. Retrieved2017-11-10.
  3. ^Mills JL, Sr; Conte, MS; Armstrong, DG; Pomposelli, FB; Schanzer, A; Sidawy, AN; Andros, G; Society for Vascular Surgery Lower Extremity Guidelines, Committee (January 2014)."The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI)".Journal of Vascular Surgery.59 (1): 220–34.e1–2.doi:10.1016/j.jvs.2013.08.003.PMID 24126108.
  4. ^Gottrup F (May 2004). "A specialized wound-healing center concept: importance of a multidisciplinary department structure and surgical treatment facilities in the treatment of chronic wounds".Am. J. Surg.187 (5A):38S–43S.doi:10.1016/S0002-9610(03)00303-9.PMID 15147991.
Vascular and
endovascular surgery
Arterial disease
Venous disease
Arterial andvenous access
Aortic aneurysm /dissection
Other
Medical imaging
Angiography
Venography
Ultrasound
Other diagnostic
Authority control databases: NationalEdit this at Wikidata


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