Outcomes of repeated reconstructive surgery in aorto-femoral and femur-popliteal segments in patients with chronic obliterating disease of arteries of the lower extremities


  • V.V. Petrushenko
  • O.M. Skupyi
  • D.V. Tsyhalko
  • Ya.V. Khrebtii
Keywords: obliterating atherosclerosis, repeated reconstructive surgery, aorto-femoral, femoral-popliteal segments, reocclusion, thromboses, autovenous shunting, allo-shunting.

Abstract

The results of repeated reconstructive operations on the aorto-femoral (AF) and femoral-popliteal (FP) segments from 2012 to 2016 in the department of vascular surgery of the Vinnitsa Regional Clinical Hospital named after M.I. Pirogov. Reocclusion of shunts was diagnosed in 152 patients (24,0%). The reasons of repeated surgical reconstructive interventions were shunt thrombosis — 79,6%, neointimal hyperplasia of anastomosis — 12,5%, infection of prostheses — 3,2%, progression of ischemia — 4,6%. Performed repeated surgical interventions: thrombectomy from an autovenous shunt, from alloshunt with plastic of distal anastomosis, replacement of alloshunt. Thrombectomy from alloshunt with plastic of distal and proximal anastomoses, repeated alloshunting, autovenesal bypass surgery. We consider the use of an autovenous insert and a patch in the plastic of distal anastomosis. It has been established that repeated surgical intervention for patients with reocclusion of AF and FP segment is appropriate and justified, which allows to save the limb patient, improve the quality of life.

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Published
2017-09-29
How to Cite
Petrushenko, V., Skupyi, O., Tsyhalko, D., & Khrebtii, Y. (2017). Outcomes of repeated reconstructive surgery in aorto-femoral and femur-popliteal segments in patients with chronic obliterating disease of arteries of the lower extremities. Reports of Vinnytsia National Medical University, 21(2), 463-465. Retrieved from https://reports-vnmedical.com.ua/index.php/journal/article/view/29

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