[The choice of operative method for the arterial occlusion in the femoro-popliteo-tibial segment].

Autor: Nikul'nikov PI, Guch AA, Bytsaĭ AN, Akhmad D, Danilets AO
Jazyk: ruština
Zdroj: Klinichna khirurhiia [Klin Khir] 2006 Oct (10), pp. 39-42.
Abstrakt: The results of surgical treatment of 198 patients suffering atherosclerotic occlusion of the femoro-popliteo-tibial segment arteries were analyzed, of them endarterectomy from superficial femoral artery was performed in 75 (37.9%) patients, femoro-popliteal shunting using autovena--in 93 (47%), synthetic prosthesis--in 17 (8.6%), in 4 (2%)--distal anastomosis was formatted with "hanged" segment of popliteal artery, revascularization of the limb via the deep femoral artery system was done in 9 (4.5%) patients. Good immediate result was noted in 86.4% patients, in 2 years and more--in 68.6%. Comparative analysis of methods of the femoro-popliteo-tibial segment arteries reconstruction had trusted, that more stable indices of hemodynamics were achieved after performance of autovenous shunting with formation of distal anastomosis via proximally than the knee joint fissure localisation.
Databáze: MEDLINE