[Combined operations in cases of critical ischemia of the lower extremities in senior patients with generalized atherosclerosis].
Here, we present the experience of surgical treatment of senior patients with generalized arterial lesions. We have determined the diagnostic principles for the lesions of other arterial basins, and designed the tactics of surgical treatment in haemodynamically significant stenoses of the carotid and coronary arteries. The indications for and assessment of sequential and simultaneous interventions have been defined, and the complications arising after the consecutive operations have been analyzed. We have also studied the remote results of reconstructive operations in senior patients with critical ischemia of the lower extremities. Surgical tactics aimed at blood flow correction in clinically significant lesions of all arterial basins was recognized as the method of choice when treating patients with generalized atherosclerosis. Blood flow in the carotid and coronary basins should be restored in the first place. When performing revascularization of the extremities, blood flow in all the arterial segments (iliac, femoral, and tibial) should be restored.
Karpov
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AV
D000368:Aged; D000369:Aged, 80 and over; D050197:Atherosclerosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D003131:Combined Modality Therapy; D023921:Coronary Stenosis / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply* / Q000601:surgery*; D008297:Male; D014656:Vascular Surgical Procedures