| Revascularization | |
|---|---|
| ICD-9-CM | 36.10,36.2,36.33,36.34 |
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]
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]