[Vein grafts in situ in surgery of atherosclerotic lesions of the arteries of the lower limbs].
Reconstructive operations with the use of autologous veins were carried out on 154 patients with occlusive lesions in the femoropopliteal and femorotibial segments. Reversed autologous vein was used to form a shunt in 109 patients and autologous vein in situ in 45 patients. Patency of the shunts, both in the immediate and late-term periods, was higher in the in situ techniques than in the group with a reversed vein (93.3 and 88.8%; 78.9 and 72.4%, respectively). With the use of micro-surgical techniques the number of good results increased by 20.4%. In successful reconstructions in both groups the malleolobrachial index increased from 0.27 +/- 0.02 to 1.03 +/- 0.15. There were no statistically significant differences in the values of the malleolobrachial index in patients of both groups with functioning shunts in the late-term period (of up to 2 years).
Losev
R Z
RZ
Gavrilov
V A
VA
Balatskiĭ
O A
OA
D001161:Arteriosclerosis / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008866:Microsurgery; D013997:Time Factors; D014680:Veins / Q000637:transplantation*
Venoznye transplantaty in situ v khirurgii ateroskleroticheskikh porazheniĭ arteriĭ nizhnikh konechnosteĭ.