title: [Tactics of the surgical treatment of combined occlusive diseases of the coronary arteries, the abdominal aorta and the arteries of the lower extremities].
abstract: On the basis of experience in reconstructive operations on 250 patients with combined affection of the coronary arteries, abdominal aorta, and arteries of the lower limbs the authors discuss the diagnostic and tactical features of surgical management of these patients. The article dwells upon the necessary preoperative diagnostic algorithm as well as that in tactical variants of surgical treatment: (1) one-stage reconstructive operations on several vascular beds; (2) successive stage-by-stage treatment of patients with combined vascular pathology; (3) reconstructive vascular intervention on only one of the vascular beds. Correct practical solution of all these problems allowed the authors to reduce postoperative lethality to 5.4% among this grave contingent of patients with combined vascular pathology.
authors.forename: A A
authors.initials: AA
authors.lastname: Spiridonov
authors.forename: V P
authors.initials: VP
authors.lastname: Kertsman
authors.forename: L I
authors.initials: LI
authors.lastname: Klioner
authors.forename: V I
authors.initials: VI
authors.lastname: Rusin
authors.forename: T G
authors.initials: TG
authors.lastname: Nikitina
mesh_terms: D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000453:epidemiology / Q000601:surgery*; D003327:Coronary Disease / Q000150:complications / Q000453:epidemiology / Q000601:surgery*; D006801:Humans; D007866:Leg / Q000098:blood supply*; D012189:Retrospective Studies; D012426:Russia / Q000453:epidemiology
vernacular_title: Taktika khirurgicheskogo lecheniia sochetannykh okkliuziruiushchikh porazheniĭ koronarnykh arteriĭ, briushnoĭ aorty i arteriĭ nizhnikh konechnosteĭ.