title: [Bypass surgeries from remote vascular beds in the treatment of critical limb ischemia in elderly and old patients].
abstract: The problem of surgical treatment of elderly and old patients with critical limb ischemia and severe concomitant diseases is discussed. Surgical bypass from remote vascular beds is the only real possibility of effective care for such patients with the lowest risk. The results of treatment of 90 patients with critical limb ischemia were analyzed. The surgical technique is described in details. Modified methods of proximal anastomosis creation and technology of safe installation of graft into subcutaneous canal in subclavial-femoral bypass, surgical technique in femoral-femoral and ileo-femoral cross-over bypass are also described. Results demonstrate high efficacy of these surgeries and their lower risk. It is concluded that improved surgical technique permits to expand indications for surgery in elderly and old patients and to improve immediate and long-term results.
authors.forename: V L
authors.initials: VL
authors.lastname: Lemenev
authors.forename: I P
authors.initials: IP
authors.lastname: Mikhaĭlov
authors.forename: D V
authors.initials: DV
authors.lastname: Zhulin
authors.forename: V V
authors.initials: VV
authors.lastname: Iofik
authors.forename: V N
authors.initials: VN
authors.lastname: Lavrenov
authors.forename: A A
authors.initials: AA
authors.lastname: Shcherbiuk
mesh_terms: D000367:Age Factors; D000368:Aged; D000792:Angiography; D001807:Blood Vessel Prosthesis; D005260:Female; D005263:Femoral Artery / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery / Q000601:surgery; D007511:Ischemia / Q000000981:diagnostic imaging / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D011183:Postoperative Complications; D012307:Risk Factors; D013348:Subclavian Artery / Q000601:surgery; D013997:Time Factors