[Surgical treatment of middle-aged and elderly patients with chronic ischemia and distal occlusions].
Operative treatment for critical ischemia was performed on 346 elderly and senile patients. An assessment of the distal bed and outflow pathways has shown the conditions for the reconstruction of the vessels to be unfavorable in 257 (74%) patients. Femoro-proximal-popliteal shunts were made in 82 patients with good effect in 74 of them. Femoro-distal-popliteal and tibial shunts were made in 62 patients with good effect in 52. In 12 patients out of 20 with the isolated plasty of the profound femoral artery better blood flow and arrest of pains in rest were noted. Lumbar sympathectomy was performed in 142 (41%) patients, in 46 of them it was combined with continuous intraarterial infusion and in 20 patients--in combination with the rotor osteotrepanation on the femur and shin. Good results after sympathectomy were noted in 102 patients.
Dibirov
M D
MD
Gadzhimuradov
R U
RU
Evseev
Iu N
IuN
Novosel'tsev
O S
OS
D000367:Age Factors; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008160:Lumbosacral Plexus / Q000601:surgery*; D008875:Middle Aged; D013562:Sympathectomy