Vascular transvenous suture (VTS) is a surgical procedure that is used to treat arteriovenous aneurysms (AVAs). AVA is an abnormal dilatation of an artery that occurs due to a defect in the arterial wall or the presence of an additional vein communicating with the artery. Sh.s. superimposed on a defect in the arterial wall through the lumen of a communicating vein. The goal of the procedure is to prevent further expansion of the artery and maintain normal circulatory function.
Procedure Sh. s. includes several stages:
- Patient preparation and anesthesia. The patient must be under anesthesia to avoid pain and stress.
- Vein incision. At the site of the defect in the artery wall, an incision is made in the vein that communicates with the artery.
- Removal of damaged tissue. The surgeon removes damaged tissue that may be causing the artery to widen.
- Applying a suture. The surgeon places a suture on the defect in the wall of the artery from the lumen of the vein. The suture can be applied either using a synthetic material or using the patient’s own tissue.
- Checking for leaks. After applying the suture, the surgeon checks the tightness of the connection between the artery and vein. If the seam is sealed, the procedure is considered successful.
- Postoperative observation. After surgery, the patient is monitored for several days to ensure there are no complications.
Sh.s. is a safe and effective procedure that can help maintain normal arterial function. However, like any other surgery, it may have some risks and complications, such as bleeding, infection, damage to blood vessels and nerves. Therefore, before the procedure, it is necessary to conduct a thorough examination of the patient and choose the optimal treatment method.
Vascular transfemoral suture (Vascular transvenous suture) is a special surgical suture that is used to close a defect in the arterial wall during an arteriovenous aneurysm. The suture is made from special threads that contain polymers that can quickly dissolve in the body. During surgery, such a suture is significantly reduced in size, which promotes better wound healing and a reduction in postoperative complications. One of the most important problems associated with the development of artemovenous aneurysms is their complicated course. Pulmonary aneurysm is of particular concern. In this condition, patients may develop intracranial and pulmonary hemorrhages due to rupture of the aneurysmal structure. With a transvenous suture, the treatment of aneurysms can be minimized due to the fact that the aneurysmal vessel is removed from the body through the arterial-venous junction, and its wall can be ligated there. Then, within 30 minutes, the vein is emptied and the vessel incision is removed. Depending on the type of arteriovenous anastomosis, it can be performed without changing the vessel. In this case, a local incision in the vein wall is used and the aneurysmal site is sutured using ligatures. Usually in such cases it is recommended to remove the tip of the vessel to return it to its natural diameter.