Novosti
Khirurgii
This journal is
indexed in Scopus



Year 2019 Vol. 27 No 3

GENERAL & SPECIAL SURGERY

DOI: https://dx.doi.org/10.18484/2305-0047.2019.3.276   |  

V. SIHOTSKY 1, 2, I. KOPOLOVETS 1, 3, M. KUBIKOVA 1, 2, P. STEFANIC 1, 2, V. KATUCH 2

RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH AORTOILIAC ATHEROSCLEROSIS

Eastern Slovak Institute of Cardiovascular Diseases 1,
Pavol Jozef Safarik University 2, Kosice,
the Slovak Republic
Uzhhorod National University 3, Uzhhorod,
Ukraine

Objective. To investigate the results of surgical treatment of patients with aortoiliac pathology in the early postoperative period.
Methods. In the study 103 patients with aortoiliac pathology were included, who were referred to the Clinic of Vascular Surgery from 2015 to 2017 years. 53 patients were operated on because of aortoiliac atherosclerosis and 50 patients because of abdominal aortic aneurysm. The indications for surgery were limiting claudication, critical limb ischemia or acute thrombosis of the aorta in patients with aortoiliac atherosclerosis. The indication for surgery in patients with abdominal aortic aneurysm was the aneurysm over 5.5 cm in the transverse diameter or the ruptured aneurysm. Early results of patients surgical treatment were assessed by the frequency of postoperative complications and deaths.
Results. 49 (92.5%) out of 53 patients with aortoiliac atherosclerosis were operated on as planned and 4 (7.5%) patients were operated on urgently. 52 (98.2%) aortobifemoral bypasses and one (1.8%) aortofemoral (unilateral) bypass were performed. Three complications (6.1%) occurred postoperatively in patients operated on according to plan and one complication (25%) in patients operated urgently. The mortality rate was 25% in urgent patients and 2.0% in planned patients. 28 patients with asymptomatic abdominal aortic aneurysm and 22 with the ruptured abdominal aortic aneurysm were operated on. The mortality in the planned patients was 3.6%. 40.9% mortality rate was registered in the ruptured abdominal aortic aneurysm patients.
Conclusions. Early good and satisfactory results of the routine surgical treatment of symptomatic aortoiliac atherosclerosis in the early postoperative period accounted 98%, asymptomatic aortic aneurysm 96.4%. Mortality after urgent surgery with aneurysm rupture made up 40.9%. Surgical treatment of aortic aneurysm is indicated in patients with low and moderate surgical risk.

Keywords: atherosclerosis, aortic aneurysms, critical limb ischemia, aortoiliac reconstructions
p. 276-283 of the original issue
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Address for correspondence:
04001, Slovakia,
Kosice, Ondavska Str., 8,
Eastern Slovak Institute
of Cardiovascular Diseases.
Tel. + 421 055 789-15-10,
e-mail: i.kopolovets@ gmail.com,
Ivan Kopolovets
Information about the authors:
Sihotský Vladimir, PhD, Deputy Head of the Clinic of Vascular Surgery for Pedagogical Work, Vascular Surgeon, Eastern Slovak Institute of Cardiovascular Diseases, Pavol Jozef Safarik University, Medical Faculty, Kosice, Slovak Republic.
https://orcid.org/0000-0002-1446-8216
Kopolovets Ivan, PhD, Vascular Surgeon, Eastern Slovak Institute of Cardiovascular Diseases, Košice, Slovak Republic, Researcher of Uzhhorod National University, Uzhhorod, Ukraine.
http://orcid.org/0000-0002-2721-6114
Kubikový Maria, PhD, Vascular Surgeon, Eastern Slovak Institute of Cardiovascular Diseases, Pavol Jozef Safarik University, Medical Faculty, Kosice, Slovak Republic.
https://orcid.org/0000-0001-5628-8814
Stefanic Peter, PhD, Vascular Surgeon, Eastern Slovak Institute of Cardiovascular Diseases, Pavol Jozef Safarik University, Medical Faculty, Kosice, Slovak Republic.
http://orcid.org/0000-0002-0396-3676
Katuch Vladimir, PhD, Head of the Neurosurgery Clinic, Pavol Jozef Safarik University, Medical Faculty, Kosice, Slovak Republic.
http://orcid.org/0000-0001-8044-4012
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