[Surgical treatment of patients with terminal stages of occlusive diseases of the lower limb peripheral arteries].
During the period of 1987-1998 operations for obliterating diseases of the peripheral arteries were performed on 104 patients having critical ischemia of the diseased extremity. The microsurgical technique was used. Indirect revascularization of the ischemic extremity with the soft tissue flap was fulfilled in 56 patients, femoro-distal-crural bypass was used in 38 patients, in 11 of them the bypass was "unloaded" into the flap of the broadest dorsal muscle, in 10 patients arterialization of the origins of the major subcutaneous veins was made. In cases of shunting with the "unloading" into the flap the extremity was saved in all the patients, after revascularization the extremity was saved in 89% of the patients, two years after the operation these patients had chronic ischemia of the operated extremity of the IIA degree. After arterialization of the foot vein 60% of the patients avoided amputation of the extremity.
Samodaĭ
V G
VG
Parkhisenko
Iu A
IuA
Zviagin
A G
AG
Ivanov
A A
AA
D000328:Adult; D000792:Angiography; D001157:Arterial Occlusive Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D013997:Time Factors