Revascularization

This article is about surgical vascularization. For physiological vascularization, see Angiogenesis.

Revascularization
Intervention
ICD-9-CM	36.10, 36.2, 36.33, 36.34

In medicine, revascularization is the restoration of perfusion to a body part or organ that has suffered ischemia. It is typically accomplished by surgical means.^[1] Vascular bypass and angioplasty are the two primary means of revascularization.^[2]

The term derives from the prefix re-, in this case meaning "restoration" and vasculature, which refers to the circulatory structures of an organ.

Revascularization involves a thorough analysis and diagnosis and treatment of the existing diseased vasculature of the affected organ, and can be aided by the use of different imaging modalities such as magnetic resonance imaging, PET scan, CT scan, and X ray fluoroscopy.

This is a concept important in the subdisciplines of biomedicine which are concerned with the rehabilitation of important organs, such as the heart, liver, and lungs.

Treatment for gangrene often requires revascularization, if possible.^[3] The surgery is also indicated to treat ischemic wounds (inadequate tissue perfusion) in some forms of chronic wounds, such as diabetic ulcers.^[4]

References

↑ "Revascularization". Medical Dictionary. The Free Dictionary. Retrieved 24 March 2013.
↑ Kalyanasundaram, Arun (April 5, 2012). "Comparison of Revascularization Procedures in Coronary Artery Disease". Drugs, Diseases, and Procedures. Medscape. Retrieved 2012-12-19.
↑ Mills JL, Sr; Conte, MS; Armstrong, DG; Pomposelli, FB; Schanzer, A; Sidawy, AN; Andros, G; Society for Vascular Surgery Lower Extremity Guidelines, Committee (January 2014). "The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI).". Journal of vascular surgery 59 (1): 220–34.e1–2. doi:10.1016/j.jvs.2013.08.003. PMID 24126108.
↑ Gottrup F (May 2004). "A specialized wound-healing center concept: importance of a multidisciplinary department structure and surgical treatment facilities in the treatment of chronic wounds". Am. J. Surg. 187 (5A): 38S–43S. doi:10.1016/S0002-9610(03)00303-9. PMID 15147991. Retrieved 2008-07-21.

Vascular surgery ICD-9-CM V3 38–39, ICD-10-PCS 03–6

Vascular and
Endovascular surgery

Arterial disease	Vascular bypass Angioplasty Atherectomy Endarterectomy Carotid endarterectomy Stenting Carotid stenting

Venous disease	Ambulatory phlebectomy Laser surgery Sclerotherapy Vein stripping

Arterial and Venous Access	Venous cutdown Arteriotomy Phlebotomy

Aortic aneurysm / dissection:	Endovascular aneurysm repair Open aortic surgery

Other	Cardiopulmonary bypass Cardioplegia Extracorporeal membrane oxygenation Hemodialysis Revascularization Glomectomy First rib resection Seldinger technique Vascular snare

Medical imaging

Angiography	Digital subtraction angiography Cerebral angiography Aortography Fluorescein angiography Radionuclide angiography Magnetic resonance angiography

Venography	Portography Impedance phlebography

Ultrasound	Intravascular ultrasound Carotid ultrasonography

Other diagnostic

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