Arteriosclerosis obliterans surgical treatment of.docVIP

 PAGE \* MERGEFORMAT 16 Arteriosclerosis obliterans surgical treatment of [Keywords:] lower extremity arterial occlusive disease, surgical treatment Arteriosclerosis obliterans (ASO) from the artery caused by atherosclerosis in patients with lower extremity arterial system can be the same or more segments there is a severe arterial stenosis or obstruction, elderly patients with chronic lower limb ischemia is the most common cause . At present, the incidence of lower limb ASO increased year by year, the United States over 70 years age groups the incidence of peripheral arterial disease, 3% from the previous increase of 10% to 15% in recent years to 20% (1), more than 60 years of age in China Aged up to 15.91% prevalence rate of ASO (2). ASO patients with lower extremity first, the most common symptoms of intermittent claudication, and prior diagnosis in newly diagnosed proportion of the population were 5.5% and 12.6% (3). The incidence of intermittent claudication increases with age, significant growth in the 45 0.6% 54-year-old, 54 to 64 years about 2.5%, about 65 to 74 years 8.8% (4). When the further development of the disease, patients with rest pain occurs, patients with advanced disease often are not due to end of the organization effective blood perfusion of ischemic ulcers, gangrene and even amputation caused by some patients. This two groups of patients greatly increased the possibility of limb loss. a prospective study showed that pain occurs at rest or ischemic ulcers in patients 3 months after The amputation rate as high as 12.2% (5). there are many Centre of experiments show that untreated or treated patients with critical limb ischemia unsuccessful in 40% of the loss of limbs within 6 months and 1 year mortality rate can reach 20% ( 6). In 2001, for the treatment of ASO’s complexity and difficulty of the problem, the Pan-Atlantic Society of Interventional agreement (Trans Atlantic Inter Society Consensus, TASC) developed a “peripheral a