title: [Tactics of surgical treatment of critical lower limbs ischemia and concomitant coronary heart disease class III-IV].
abstract: The possibility and use of prolonged epidural anesthesia in terms of preoperative care was studied in 78 patients. Patients with various stages of coronary arteries affection, central haemodynamics state and risk of reconstructive surgical treatment on lower limb arteries were marked out. Patient selection criteria for aortocoronary shunting or reconstructive operation on great lower limb vessels were worked out. It is proved, that prolonged epidural anesthesia allows not only to attain good analgesia but to minimize cardiac complications at reconstructive operations on abdominal aorta and its branches.
authors.forename: P O
authors.initials: PO
authors.lastname: Kazanchian
authors.forename: Iu I
authors.initials: IuI
authors.lastname: Kazakov
authors.forename: V A
authors.initials: VA
authors.lastname: Popov
authors.forename: P G
authors.initials: PG
authors.lastname: Sotnikov
authors.forename: M G
authors.initials: MG
authors.lastname: Kozorin
authors.forename: A Iu
authors.initials: AIu
authors.lastname: Kazakov
authors.forename: D V
authors.initials: DV
authors.lastname: Federiakin
mesh_terms: D001012:Aorta, Abdominal; D001027:Aortography; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass / Q000379:methods*; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005263:Femoral Artery; D005500:Follow-Up Studies; D006801:Humans; D007083:Iliac Artery; D012720:Severity of Illness Index; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex