[Five-year outcomes of aorto-femoral vascular reconstructions in patients with multifocal atherosclerosis].

Autor: Burkov NN; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Kazantsev AN; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Tarasov RS; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Anufriev AI; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia., Barbarash LS; Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia.
Jazyk: ruština
Zdroj: Khirurgiia [Khirurgiia (Mosk)] 2018 (5), pp. 13-18.
DOI: 10.17116/hirurgia2018513-18
Abstrakt: Aim: To analyze long-term results of surgical treatment of atherosclerotic occlusive-stenotic lesion of aorto-femoral segment within the single-center prospective register.
Material and Methods: The study included 275 patients who underwent aorto-femoral reconstructive interventions for the period 2011-2014. Inclusion criterion was indications for aorto-femoral surgery due to severe atherosclerotic lesions of the infrarenal aorta and/or ilio-femoral arteries. Mean follow-up was 54±11.6 months.
Results: Prognostic significance of various clinical-instrumental, anatomical-angiographic and perioperative variables has been comprehensively analyzed. Five-year outcomes and cardiovascular morbidity were assessed in consecutive patients after reconstructive procedures on the aorto-femoral segment. Multidisciplinary approach to determine optimal revascularization strategy and certain tactical and technical algorithms are necessary to improve the outcomes in these severe patients.
Databáze: MEDLINE