Website is intended for physicians
Search:

 

 

Abstract:

Aim: was to combine results of surgical treatment of patients with primary reconstruction of arteries of lower limbs with patients who underwent reconstructive operations on early stented arteries.

Materials and methods: research included 93 patients with critical ischemia of lower limbs. All patients were devided into two groups with division to subgroups. Group 1a - 23 patients after stenting of iliac arteries. Group 1b - 23 patients with stenosis or occlusion of iliac arteries without previous operations. Group 2a - 22 patients with thrombosis or restenosis of arteries lower than inguinal ligament after previous endovascular treatment. Group 2b - 25 patients with primary atherosclerotic lesion of arteries of lower limbs lower than inguinal ligament .

Results: in early postoperative period and 6 months after reconstructive operation there were no difference in all groups and subgroups of treated patients. The level of complications in late post-operative period is lower in case of primary reconstruction of arteries lower than inguinal ligament in comparison with operations after endovascular interventions.  

 

References

1.     Bokeria L.A., Temrezov M.B., Kovalenko M.I. et al. Urgent problems of surgical treatment of patients with KINK solutions of (state the problem). Annals ofsurgery. 2011; 1: 5-9 [In Russ].

2.     Pokrovsky A.V., Gontarenko V.N. The condition of vascular surgery in Russia in 2013. 2014; Angiology and vascular surgery. 3-55 [In Russ].

3.     Gavrilenko A.V., Skrylev A.V. Surgical treatment of patients with critical limb ischemia (CLI caused by damage to the arteries infrainguinal localization. Angiology and vascular surgery. 2008; 14: 111-117 [In Russ].

4.     Diehm N., Baumgartner I., Jaff M., Do D.D, Minar E., Schmidli J., Diehm C., Biamino G., Vermassen F., Scheinert D., Van Sambeek M.R., Schillinger M. A call for uniform reporting standards in studies assessing endovascular treatment for chronic ischaemia of lower limb arteries. Eur. Heart J. 2007; 28:798-805.

5.     Gruberg L., Hong M.K., Mintz G.S., Mehran R., Waksman R., Dangas G., Kent K.M., Pichard A.D., Satler L.F., Lansky A.J., Kornowski R., Stone G.W., Leon M.B. Optimally deployed stents in the treatment of restenotic versus de novo lesions. Am. J. Cardiol. 2000 Feb 1; 85(3):333.

6.     Bondarenko O.N., Galstjan G.R., Ajubova N.L., Egorova D.N., Dedov 1.1. Rol' ul'trazvukovogo dupleksnogo skanirovanija v ocenke ishodov jendovaskuljarnyh vmeshatel'stv u bol'nyh saharnym diabetom i kriticheskoj ishemiej nizhnih konechnostej v rannie sroki nabljudenija [The role of ultrasonic duplex scanning in estimation of results of endovascular interventions in patients with diabetus mellitus and critical ischemia of lower limbs in early postoperative period]. Diagnosticheskaja i intervencionnaja radiologija. 2014; 8(3)15-28 [In Russ]. 

ANGIOLOGIA.ru (АНГИОЛОГИЯ.ру) - портал о диагностике и лечении заболеваний сосудистой системы