denudation of an artery

From Big Medical Encyclopedia

DENUDATION of an artery (Latin denudatio exposure; synonym periarterial sympathectomy) — partial circular removal of an outside cover (adventitia) of a blood vessel.

Destruction of nervous formations of an adventitia leads to paralysis of vasoconstrictors and vasodilatation distalny places of intervention. However in connection with regeneration of an adventitious cover and sympathetic fibers D.'s effect is short-lived.

Apply at an endarteritis, trophic ulcers and the pain syndrome which arose after an injury of a neurovascular bunch or amputation of extremities.

Usually at D. the adventitia is deleted throughout 8 — 12 cm. Quite often surgical removal of an adventitia is replaced with influence of 5% solution of phenol or 80% alcohol — so-called chemical D.

See also Sympathectomy .

Bibliography: Polenov A. L. and Bondarchuk of A. V. Hirurgiya of the autonomic nervous system, L., 1947; Shabanov A. N., the Buzzing a certain Ts. Ya. and Makarov of A. F. Simpatektomiya at obliterating diseases of vessels of extremities, Surgery, No. 5, page 40, 1971; In r ii n i n g F. u. Forster E. Die periarterielle Sympathectomie, Zbl. Chir., S. 913, 1922; Leriche R. et Robi-n e an u, Indications et resultats de la sym-pathectomie pariarterielle dans la Chirurgie des membres, Paris chir., t. 19, p. 191, 1927.

B. S. Mikhaylovsky.