Thrombendarterectomy

From WikiLectures

Thrombendarterectomy (desobliteration) is one of the three basic surgical methods of reconstruction of the passage of the arteries.

  • The thickened inner layer of the artery (intima and the part of the media on which the thrombus usually mounts) is removed .
  • Purpose – expand the lumen, get a smooth surface, adjust the transition from the desobliterated part to the untreated area.
  • Disadvantage:
    • large thrombogenic surface;
    • Due to that it is used for short obliterations with high flow – a. carotis, aorta, a. iliaca comm.
  • Opened trombendarterectomy is the main method.


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