# Revascularization

> Mediated Wiki article. Canonical URL: https://mediated.wiki/source/Revascularization
> Markdown URL: https://mediated.wiki/source/Revascularization.md
> Source: https://en.wikipedia.org/wiki/Revascularization
> Source revision: 1110237861
> License: Creative Commons Attribution-ShareAlike 4.0 International (https://creativecommons.org/licenses/by-sa/4.0/)

{{Short description|Medical treatment to restore perfusion to a body part that has had ischemia}}
{{About|surgical revascularization|physiological revascularization|Angiogenesis|and|Neovascularization}}
{{Infobox interventions |
  Name        = Revascularization |
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  ICD10       = |
  ICD9        = {{ICD9proc|36.10}}, {{ICD9proc|36.2}}, {{ICD9proc|36.33}}, {{ICD9proc|36.34}} |
  MeshID      = |
  OPS301      = |
  OtherCodes  = |
  HCPCSlevel2 = 
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In medical and surgical [therapy](/source/therapy), '''revascularization''' is the restoration of [perfusion](/source/perfusion) to a body part or [organ](/source/organ_(anatomy)) that has had [ischemia](/source/ischemia). It is typically accomplished by [surgical](/source/surgery) means.<ref>{{cite web|title=Revascularization|url=http://medical-dictionary.thefreedictionary.com/revascularization|work=Medical Dictionary|publisher=The Free Dictionary|access-date=24 March 2013}}</ref> [Vascular bypass](/source/Vascular_bypass) and [angioplasty](/source/angioplasty) are the two primary means of revascularization.

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

It is often combined with "urgent" to form urgent vascularization.

Revascularization involves a thorough analysis and [diagnosis](/source/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](/source/magnetic_resonance_imaging), [PET scan](/source/PET_scan), [CT scan](/source/CT_scan), and [X-ray](/source/X-ray) fluoroscopy.{{Citation needed|date=August 2008}}

==Applications==
For [coronary artery disease](/source/coronary_artery_disease) (ischemic heart disease), [coronary artery bypass surgery](/source/coronary_artery_bypass_surgery) and [percutaneous coronary intervention](/source/percutaneous_coronary_intervention) (coronary balloon angioplasty) are the two primary means of revascularization.<ref name="Medscape">{{cite web | last = Kalyanasundaram | first = Arun| title = Comparison of Revascularization Procedures in Coronary Artery Disease | work = Drugs, Diseases, and Procedures | publisher = [Medscape](/source/Medscape) | date = April 5, 2012 | url = http://emedicine.medscape.com/article/164682-overview | access-date = 2017-11-10 }}</ref> When those cannot be done, [transmyocardial revascularization](/source/transmyocardial_revascularization) or percutaneous myocardial revascularization, done with a laser, may be an option.

Treatment for [gangrene](/source/gangrene) often requires revascularization, if possible.<ref>{{cite journal|last1=Mills JL|first1=Sr|last2=Conte|first2=MS|last3=Armstrong|first3=DG|last4=Pomposelli|first4=FB|last5=Schanzer|first5=A|last6=Sidawy|first6=AN|last7=Andros|first7=G|last8=Society for Vascular Surgery Lower Extremity Guidelines|first8=Committee|title=The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: risk stratification based on wound, ischemia, and foot infection (WIfI).|journal=Journal of Vascular Surgery|date=January 2014|volume=59|issue=1|pages=220–34.e1–2|pmid=24126108|doi=10.1016/j.jvs.2013.08.003|doi-access=free}}</ref> The surgery is also indicated to treat [ischemic wounds](/source/arterial_insufficiency_ulcer) (inadequate [tissue](/source/tissue_(biology)) perfusion) in some forms of [chronic wound](/source/chronic_wound)s, such as [diabetic](/source/diabetes) ulcers.<ref>{{cite journal |author=Gottrup F |title=A specialized wound-healing center concept: importance of a multidisciplinary department structure and surgical treatment facilities in the treatment of chronic wounds |journal=Am. J. Surg. |volume=187 |issue=5A |pages=38S–43S |date=May 2004 |pmid=15147991 |doi=10.1016/S0002-9610(03)00303-9 }}</ref>

==References==
{{Reflist}}

{{Vascular surgery procedures}}
{{Authority control}}

Category:Vascular surgery

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Adapted from the Wikipedia article [Revascularization](https://en.wikipedia.org/wiki/Revascularization) by Wikipedia contributors ([contributor history](https://en.wikipedia.org/wiki/Revascularization?action=history)). Available under [Creative Commons Attribution-ShareAlike 4.0 International](https://creativecommons.org/licenses/by-sa/4.0/). Changes may have been made.