[Comments on the outcome of reconstructive treatment of chronic occlusions of the peripheral arteries].

The results of reconstructive surgery performed for obliteration of iliac arteries (8), femoro-popliteal segment (36) and brachial artery (2) in 40 patients are reported. The method of desobliteration-open thrombendarterectomy, shunting or thrombectomy -- was selected taking into account the peculiarities of each case, separately; autografts from the great saphenous vein served as a plastic material. Major blood flow was restored 27 cases, clinical improvement was noted in 11 cases, and 8 operations were a failure. The characteristic features of microcirculatory disturbances in chronic occlusions are given.