[Methods of medical and surgical correction of atherosclerotic aorto-arterial pathology in management of malignant neoplasms].
The article deals with 6 -year experience of the Centre of Oncoangiosurgery of the Chelyabinsk Regional Oncological Dispensary in treatment of patients with concomitant malignant neoplasms and atherosclerotic lesions to the aorta and arteries. The authors analyze therapeutic outcomes in a total of 158 patients. Of these, 81 patients were subjected to surgical correction of the blood flow. The presence of a clinically significant atherosclerotic lesion of the aorta and peripheral arteries in a patient should not be interpreted as an absolute or relative contraindication to contraindication combined treatment of the tumour concerned. In the majority of cases, atherosclerotic occlusion of femoral and tibial arteries was treated conservatively, using <<vasaprostan>>. In manifestation of an atherosclerotic lesion to the carotid arteries, aorta and iliac arteries, surgical correction of the blood flow was used more often. Usually, vascular reconstruction was carried out first. Simultaneous interventions were performed in 16 patients; three patients died. The technique of operations on the aorta and arteries was traditional, while for revascularization in peripheral lesions to the arteries of the limbs more frequently compromising methods were used (sympathectomy, profundoplasty, local endarterectomy) on the background of prostaglandin E1 infusions.
Fokin
A A
AA
South Urals Scientific Centre, Russian Academy of Medical Sciences, Urals State Medical Academy of Advanced Medical Training, Russian Ministry of Public Health, Regional Oncological Dispensary, Chelyabinsk, Russia.
Vazhenin
A V
AV
Lukin
A A
AA
Tereshin
O S
OS
Korolev
V N
VN
Mironchenko
M N
MN
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001014:Aortic Aneurysm / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy*; D050197:Atherosclerosis / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy*; D003251:Constriction, Pathologic / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000098:blood supply* / Q000453:epidemiology*; D011859:Radiography; D014656:Vascular Surgical Procedures / Q000379:methods*