Reconstructive operations on pedal arteries in the treatment of critical limb ischemia
Journal Title: Серце і судини - Year 2018, Vol 0, Issue 1
Abstract
The aim — to analyze results of reconstructive operations on pedal arteries in patients with critical limb ischemia (CLI). Materials and methods. From January 2008 to September 2017 in the Department of Vascular Surgery of Lviv Regional Clinical Hospital reconstructions of pedal arteries were performed in 41 patients with CLI. Middle age was 65 years (62, 97 %), male patients prevailed — 34 (83 %), female patients — 7 (17 %) respectively. During the period of supervision major amputations were performed in 5 (12.2 %) cases, in 28 (68.3 %) tissue loss was limited to the necrectomies and minor amputations. Results and discussion. Limb salvage was in 36 (87.8 %) patients. Using of popliteal artery as inflow provided better cumulative bypass patency comparatively with femoral artery bypass, the dependency of bypass and distal anastomosis localization was not statistically significant. Conclusions. Reconstructive operations on pedal arteries are an efficient method of CLI management in patients with distal occlusive stenotic damages and often remain as only chance to avoid amputation in patients with CLI. Better bypass flow is observed when popliteal artery is used as an inflow, the dependency on distal anastamosis localization was not defined.
Authors and Affiliations
I. I. Kobza, Ya. I. Yarema, R. A. Zhuk, D. Ye. Fedoriv
Keywords
Related Articles
- EP ID EP279401
- DOI -
- Views 129
- Downloads 0
Clinical, demographic and instrumental characteristics of patients with chronic heart failure and reduced left ventricular ejection fraction depending on iron deficiency
The aim — to establish clinical and other factors associated with iron deficiency (ID) in patients with chronic heart failure (CHF) and reduced left ventricular (LV) ejection fraction (EF). Materials and methods. 134 st...
The advisability of carotid endarterectomy up to 48 — 72 hours after acute cerebrovascular impairment in patients with symptomatic internal carotid artery stenosis of more than 50 %
The aim — to evaluate the results of carotid endarterectomy (CEA) in the acute period of ischemic stroke. Materials and methods. The paper presents the results analysis of CEA performed in 260 patients with symptomatic i...
Experience in treatment of post-traumatic arteriovenous discharges syndrome resulting from gunshot wounds of the main vessels
The aim — to analyze the experience of surgical treatment of patients with posttraumatic arteriovenous discharges in the lower limbs. During the period of the Anti-Terrorist Operation in the east of Ukraine, 8 patients w...
Influence of correction of secondary hyperparathyroidism on the pulse wave indicators and mineral density of bone tissue in middle‑aged women with uncomplicated arterial hypertension
The aim — to assess the effect of correction of secondary hyperparathyroidism on the background of deficiency and insufficiency of 25 (OH) vitamin D on the parameters of central blood pressure (BP) and pulse wave, bone m...
Endometrioma of the rectus abdominis
Endometriosis is determined if the endometrial tissue is located outside the uterine cavity. Endometrial tissue can be localized in the peritoneum, vagina, scar tissue, cervix, fallopian tubes, rectum, urinary tract, Dou...