[Diagnosis and surgical treatment of ischemic lesions of the viscera in elderly patients with aorto-femoral atherosclerosis].
During the period from 1991 to 2000 161 patients with atherosclerosis of the aortic-femoral zone, aged over 60, underwent scheduled treatment in the vascular surgery department of the clinical regional hospital of the city of Yaroslavl. In 62 (38.5%) patients different pathology of the visceral arteries was revealed according to the diagnostic analysis. The chronic ischemic abdomen disease of the sub- and decompensated degree was revealed in 28 (45.2%) patients which had multiple lesions of the abdomen aorta visceral branches. 53 patients underwent different surgery. Postoperative hospital mortality rate was 9.4%. Good results were obtained in 79.2% of cases. There are many variants of reconstruction operative treatment of such disorders, but in patients aged over 70 the most appropriate one was the aortic-femoral reconstruction with a renewal of blood circulation in one, maximum two, affected visceral arteries. Today the priority is given to implantation of the beginning of arteria mesenterica inferior into the prosthesis and also to the aortic- or prosthesis-visceral autovein as grafting.
Cherviakov
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D000005:Abdomen / Q000098:blood supply; D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000601:surgery*; D001161:Arteriosclerosis / Q000150:complications* / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D005260:Female; D005263:Femoral Artery / Q000473:pathology / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000209:etiology*; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000601:surgery; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods; D014680:Veins / Q000637:transplantation; D014781:Viscera / Q000098:blood supply*
Diagnostika i khirurgicheskoe lechenie ishemicheskikh porazheniĭ vistseral'nykh organov pri ateroskleroticheskom porazhenii aortobedrennogo segmenta u bol'nykh starsheĭ vozrastnoĭ gruppy.