Khirurgiia · 2025
[Repeated common femoral artery bifurcation repair in patients with acute lower limb ischemia and unsatisfactory outflow pathways].
Аннотация на английскомСтатьяНазвание и аннотация: Оригинал на русском
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Mikhailov I P, Arustamyan V A, Kozlovsky B V, Kokov L S
Аннотация
OBJECTIVE: To analyze and improve postoperative outcomes in patients with acute lower limb ischemia (ALLI) and previous reconstructive infrainguinal interventions.
MATERIAL AND METHODS: The authors analyzed postoperative outcomes after 54 repeated interventions in patients with thrombosis of common femoral artery bifurcation, deep femoral artery and non-functioning femoropopliteal (tibial) prosthesis.
RESULTS: External-iliac-deep femoral replacement were performed in 28 (52%) patients, extended deep femoral artery repair - in 16 (29.6%), aorto(iliac)-deep femoral replacement - in 8 (14.8%) cases.
CONCLUSION: External-iliac-deep femoral replacement is a preferable and effective method to restore pulsatile blood flow in deep femoral artery.
MATERIAL AND METHODS: The authors analyzed postoperative outcomes after 54 repeated interventions in patients with thrombosis of common femoral artery bifurcation, deep femoral artery and non-functioning femoropopliteal (tibial) prosthesis.
RESULTS: External-iliac-deep femoral replacement were performed in 28 (52%) patients, extended deep femoral artery repair - in 16 (29.6%), aorto(iliac)-deep femoral replacement - in 8 (14.8%) cases.
CONCLUSION: External-iliac-deep femoral replacement is a preferable and effective method to restore pulsatile blood flow in deep femoral artery.