Novosti
Khirurgii
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Year 2007 Vol. 15 No 1

MODERN DIAGNOSTICS AND THERAPY

ZENKOV A.A., PUSHKOV I.E., SHUMEYKO I.A., LOYKO N.G., MYSHLENOK D.F., MIKHNEVICH A.V., VORONYAEV V.E.

SURGICAL TREATMENT OF THE PATIENTS WITH MULTIPLE ARTERY LESIONS OF AORTA-FEMORAL AND FEMORAL-POPLITEAL SEGMENTS

70 patients with multiple artery lesions of the lower limbs were operated on from 2004 till 2006 years at the department of thoracic and vascular surgery of Vitebsk regional hospital. Proximal reconstruction with revascularization of the deep femoral artery has only been performed in 32 cases (45,7%). One stage reconstruction of aorta-femoral and femoral-popliteal segmentshas been carried out in 38 cases (54,3%). The indications for the «two-floor» reconstructions of the lower limbs arteries were multiple lesions of aorta-femoral and femoral-popliteal segments with contra-indications for angioplasty and stent procedures. In the immediate postoperative period better results were achieved after one-stage «two-floor» reconstructions. Significant decreasing of functional ischemia class was achieved after «two-floor» reconstructions in comparison with revascularisation of DFA. In the immediate postoperative period the thrombosis rate of the proximal bypasses and limb loss rate were lower after «two-floor» operations (thrombosis rate comprises 9,38% and 2,63%, limb loss rate - 6,25% and 0%).

Keywords: numerous lesions of the lower limbs arteries, artery, aorta-femur segment, femur-subgenus segment.
p. 64 - 72 of the original issue
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Contacts | ©Vitebsk State Medical University, 2007