[Distal shunting in critical ischemia of the lower extremities in patients younger and older than 80].
Under analysis are the factors of operative risk and results of operative interventions on distal segments of the arteries in elderly and senile patients with critical ischemia of lower extremities against the background of generalized atherosclerosis. Seventy-eight bypasses were fulfilled: ileo-femoral, femoro-popliteal, femoro-tibial, femoro-fibular. Pain at rest and gangrene of the foot and toes tissue were considered to he indications to bypasses. Among the risk factors smoking and arterial hypertension are particularly stressed. Postoperative lethality in patients of 80 years of age and older was 12.5%, among the patients from 70 to 80 years of age--7.7%. The active strategy is believed by the authors to be justified for revascularization of the extremity distal segments in critical ischemia and threatening amputation in the patients of 80 years of age and older.
Dudanov
I P
IP
Gouny
P
P
Shcheglov
E A
EA
Sidorov
V N
VN
Kiamiariaĭnen
G B
GB
Shcherbinina
O V
OV
D000368:Aged; D000369:Aged, 80 and over; D000714:Anastomosis, Surgical / Q000379:methods / Q000706:statistics & numerical data; D016638:Critical Illness; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D011150:Popliteal Artery / Q000601:surgery*; D016909:Tibial Arteries / Q000601:surgery*
Distal'noe shuntirovanie pri kriticheskoĭ ishemii nizhnikh konechnosteĭ u bol'nykh molozhe i starshe 80 let.