Outcomes of conventional surgery and combined with endovascular intervention for acute thromboses of atherosclerotically arteries comparative study.
The study was aimed at early outcome retrospective analysis of conventional surgery (CS) for acute arterial obstruction (AAO) of lower limb arteries with atherosclerotic lesions and of simultaneous combined treatment (SCT) - endovascular intervention undertaken during open surgery.


METHODS
166 histories of patients with AAO and atherosclerotic lesions of lower limb arteries, treated during 1998-2005. Conventional surgical therapy was used in 72 cases and comprised open and indirect thrombectomy with endarterectomy and/or femoral arterioplasty if indicated. In 94 eases open surgery was combined with pre- or intraoperative angiography and endovascular balloon angioplasty.


RESULTS
restoration of blood flow during primary intervention was achieved in 58.3% of patients after CS and in 72.3% of patients after SCT; the rate of amputations was 31.9% and 18.1%, respectively, mortality - 16.6% and 6.3%, respectively, favorable outcome at the discharge - 62.5% and 79.9%.


CONCLUSIONS
endovascular angioplasty of atherosclerotic stenoses during open surgery for acute thromboses of lower limb arteries has distinct benefits over conventional surgical treatment.
Rudenko
A V
AV
Kurgansky Regional Clinical Hospital, Kurgan, Russia.
Larionov
A A
AA
Fokin
A A
AA
D000208:Acute Disease; D017130:Angioplasty / Q000379:methods; D001158:Arteries / Q000601:surgery; D050197:Atherosclerosis / Q000473:pathology* / Q000517:prevention & control* / Q000601:surgery; D005260:Female; D006801:Humans; D035002:Lower Extremity / Q000098:blood supply* / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*