title: [A clinical example of operative intervention on previously stented peripheral artery in a patient with critical ischaemia of lower limbs].
abstract: The problem of open surgery of peripheral arteries after previously performed interventions is currently of considerable interest. This is associated with the development of roentgenoendovascular technologies, on the one hand, and with the fact that it is not always possible to use them properly, on the other. Nowadays, one may single out a small group of patients having endured balloon angioplasty and stenting of the arterial segment followed by open operation. Of special interest are patients with critical ischaemia of lower extremities. No results of randomized studies dedicated to this problem have yet been published. The present article deals with a clinical case concerning a patient having endured multiple interventional therapeutic procedures including stenting of the iliac-femoral segment. The consequent development of critical ischaemia of lower limbs required emergency revascularization by an open method on the previously stented vessels. The duration of postoperative follow up is more than 12 months.
authors: Iu V
authors: IuV
authors: Tarichko
authors: A M
authors: AM
authors: Zudin
authors: Z Kh
authors: ZKh
authors: Shugushev
authors: I G
authors: IG
authors: Uchkin
authors: N A
authors: NA
authors: Talov
authors: A V
authors: AV
authors: Khmyrova
mesh_terms: D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000379:methods; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D023821:Limb Salvage / Q000379:methods*; D035002:Lower Extremity / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D012039:Regional Blood Flow; D012086:Reoperation; D012720:Severity of Illness Index; D015607:Stents; D016896:Treatment Outcome; D014463:Ultrasonography; D014654:Vascular Patency