[The choice of operative method for the arterial occlusion in the femoro-popliteo-tibial segment].
The results of surgical treatment of 198 patients suffering atherosclerotic occlusion of the femoro-popliteo-tibial segment arteries were analyzed, of them endarterectomy from superficial femoral artery was performed in 75 (37.9%) patients, femoro-popliteal shunting using autovena--in 93 (47%), synthetic prosthesis--in 17 (8.6%), in 4 (2%)--distal anastomosis was formatted with "hanged" segment of popliteal artery, revascularization of the limb via the deep femoral artery system was done in 9 (4.5%) patients. Good immediate result was noted in 86.4% patients, in 2 years and more--in 68.6%. Comparative analysis of methods of the femoro-popliteo-tibial segment arteries reconstruction had trusted, that more stable indices of hemodynamics were achieved after performance of autovenous shunting with formation of distal anastomosis via proximally than the knee joint fissure localisation.
Nikul'nikov
P I
PI
Guch
A A
AA
Bytsaĭ
A N
AN
Akhmad
D
D
Danilets
A O
AO
D001157:Arterial Occlusive Diseases / Q000601:surgery*; D004691:Endarterectomy / Q000379:methods*; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D011150:Popliteal Artery / Q000601:surgery*; D012720:Severity of Illness Index; D016909:Tibial Arteries / Q000601:surgery*; D016896:Treatment Outcome