This journal is
indexed in Scopus
Year 2011 Vol. 19 No 5
GENERAL AND SPECIAL SURGERY
D. F. MYSHLIONAK
THE ROLE OF HYBRID TECHNOLOGIES IN TREATMENT OF PATIENTS WITH MULTISTAGE LOWER LIMBS ATHEROSCLEROTIC LESIONS
Objectives. To study the immediate and distant results of surgical treatment of patients with multistage atherosclerotic lesions of aorto-femoral-popliteal segment.
Methods. The treatment results of 111 patients operated on from 2006 till 2011 in Vitebsk regional clinical hospital were analyzed. Hybrid multistage reconstruction (endovascular intervention on the aorto-iliac segment and open surgery on the femoral-popliteal segment) was performed in 36 (32, 4%) cases. Aortobifemoral reconstructions with deep femoral artery revascularization were performed in 75 cases (67,6%).
Results. Hybrid surgeries showed good immediate and distant results on less traumatism and less complications severity background. Low patients, adherence to the supporting therapy was revealed as well as unsatisfactory control at the ambulatory stage.
Conclusions. Hybrid surgeries may be an effective and safe treatment method that permits to reduce traumatism; it promotes early activation of patients with obtaining good outcomes of treatment. At the ambulatory stage there is no proper angiosurgical monitoring as well as adherence of patients to treatment.
- The management of severe aortoiliac occlusive disease: endovascular therapy rivals open reconstruction / Vs. Kashyap [et al.] // J. Vasc. Surg. – 2008. – Vol. 48, N 3. – P. 1451-1457.
- Òreatment of chronic lower limb ischaemia / St. M. Thomas [et al.] // Vascular and Endovascular surgery / Ed. D. B. Jonathan. – Elsevier, 2006. – 3-rd ed. – P. 35-69.
- Aortic reconstruction with femoral-popliteal vein: graft stenosis incidence, risk and reintervention / Aw. Beck [et al.] // J. Vasc. Surg. – 2008. – Vol. 47, N 5. – P. 36-43.
- Combined percutaneous endovascular iliac angioplasty and infrainguinal surgical revascularization for chronic lower extremity ischemia: preliminary result / A. Mousa [et al.] // Vascular. – 2010. – Vol. 18. – P. 71-76.
- Hybrid surgical and endovascular therapy in multifocal peripheral TASC D lesions: up to three-year follow-up / T. Nishibe [et al.] // Cardiovasc. Surg. – 2009. – Vol. 50, N 2. – P. 493-499.
- Hybrid therapy in patients with complex peripheral multifocal steno-obstructive vascular disease: two-year results / Ar. Cotroneo [et al.] // Cardiovasc. Intervent. Radiol. – 2007. – Vol. 30, N 7. – P. 355-361.
- Bypass surgery or percutaneous transluminal angioplasty to treat critical lower limb ischaemia due to infrainguinal arterial occlusive disease? / Ah. Chong [et al.] // Med. J. – 2009. – Vol. 15, N 10. – P. 249-254.
- Factors determining late patency of aortobifemoral bypass graft / L. Davidovich [et al.] // J. Celok. Lek. – 1997. – Vol. 125, N 1. – P. 24-35.
- Clinical success using patient-oriented outcome measures after lower extremity bypass and endovascular intervention for ischemic tissue loss / S. Taylor [et al.] // J. Vasc. Surg. – 2009. – Vol. 50, N 3. – P. 534-541.
- Harris, P. Aortofemoral bypass and the role of concomitant femorodistal reconstruction / P. Harris, D. Bigley, L. Sweeney // Br. J. Surg. –1985. – Vol. 72, N 3. – P. 17-20.
- Perioperative outcomes and amputation-free survival after lower extremity bypass surgery in California hospitals, 1996-1999, with follow-up through 2004 / J. Feinglass [et al.] // J. Vasc. Surg. – 2009. – Vol. 50, N 4. – P. 776-783.