Treatment of patients with occlusive-stenotic diseases of the arteries of the infrarenal aorta by the hybrid method


Keywords: obliterating atherosclerosis of the arteries of the lower extremities, chronic critical ischemia of the lower extremities, revascularization, hybrid method of treatment.

Abstract

Annotation. The treatment results of patients with arterial occlusive-stenotic diseases of the lower extremities as a result of obliterating atherosclerosis were analyzed. 79 patients underwent hybrid surgery. Most patients were ranged in age from 46 to 86 years. There were 175 men (72.0%) and 68 women (28.0%). The right lower extremity was affected more often – 148(60.9%) patients than the left ones – 95(39.1%). Of the 20 patients with stenosis of the iliac-femoral segment, 14 hybrid surgeries were completed with stenting. Endarterectomy or profundoplasty with different angioplasty options were mainly performed. Endarterectomy or thrombectomy with various angioplasty options was mainly performed in the occlusion of the femoral-popliteal segment. The main hybrid type of operation in the popliteal segment was thrombectomy of the popliteal segment and balloon angioplasty of the tibial segment. In occlusive stenotic lesions of the arteries of the tibial-foot segment in the vast majority of cases, autovenous plastics of the tibioperoneal trunk with balloon angioplasty of distal arteries were performed. The thrombosis was diagnosed in 8(10,12%) individuals as the most common complication in the early postoperative period. Limb amputation was performed in 3 patients. Mortality rate in the early postoperative period was 4,76%(2 patients died in the comparison group), in the main group there was no mortality. Acute myocardial infarction and stroke are among the most common causes of death.

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Published
2021-11-30
How to Cite
Shaprynskyi, V. V. (2021). Treatment of patients with occlusive-stenotic diseases of the arteries of the infrarenal aorta by the hybrid method. Reports of Vinnytsia National Medical University, 25(4), 593-598. https://doi.org/https://doi.org/10.31393/reports-vnmedical-2021-25(4)-14