[Surgical tactics in obliterating atherosclerosis of the iliac and femoral arteries].
The article discusses the indications for and the choice of the method of reconstructive operations in patients with arteriosclerosis obliterans of the iliac and femoral arteries. It is based on the analysis of the results of examination and surgical treatment of 240 patients. Radiocontrast angiography and ultrasonic dopplerometry were applied for morphofunctional characteristics of regional circulation. The study showed that the surgical tactics in this category of patients should be determined by the severity of ischemia of the extremity, the character, localization, and length of the arteriosclerotic process, the state of the inflow and outflow passages, the condition of collateral circulation in the internal iliac and deep femoral arteries, and the presence and severity of concomitant diseases. The developed differentiated approach made it possible to achieve positive results of treatment in the immediate postoperative period in 82.50% and in the late-term follow-up periods in 77.38% of patients.
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D000792:Angiography; D001162:Arteriosclerosis Obliterans / Q000000981:diagnostic imaging / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D004691:Endarterectomy; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D013997:Time Factors; D014463:Ultrasonography
Khirurgicheskaia taktika pri obliteriruiushchem ateroskleroze podvzdoshnykh i bedrennykh arteriĭ.