Comparison of Effective Treatment Methods on Heamodynamic Changes After Concominant Arterio-Venous lnjury
Daniş Kamalı, Ali Özuslu, Taner Haznedaroğlu, Şaban Sebit, Onur Genç
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Abstract
Peripheral vascular resistance (PR) and femoral venous pressure (FVP) increased immediately after ligation of le moral venies. 3 hours later, PR remained higher than normal levels although decreased partly, but FVP continued to rise. FVP decreased a little, it remained higher than normal levels. Metabolic acidosis developed secondary to ischem ic blood changes.
lntraarterial vasodilatator agents, lumbar sympathectomy and arterio-venous fistula were applied over the groups tor treatment. in conclusion we found that; the most effective method ta decrease of FVP was lumbar sympathectomy and the most effective method to decrease of PR was A-V fistula, but it was seen that FVP had increased highly in A-V fistula.