title: [Using femoral autovein in reconstruction of the aortoiliac segment in patients with high risk of infectious complications].
abstract: OBJECTIVE
  To analyse the results of using a femoral vein for reconstruction of the aortoiliac segment.
  
  
  METHODS
  We performed a total of 10 reconstructions of the aortoiliac segment using a femoral autovien. The patients' average age amounted to 58,8±4,5 years.
  
  
  RESULTS
  The patients were subdivided into 2 groups, with Group 1 consisting of 5 patients operated on for complication of aortoiliac reconstruction using an artificial graft. The grafts were retrieved followed by repeat prosthetic repair with the femoral vein. All cases showed satisfactory revascularization of the limb. Venous outflow impairments after removal of the femoral vein were inconsiderable. One patient died. Group 2 comprised 5 patients initially operated on for critical ischaemia of the lower limbs with purulent necrotic lesions. Revascularization with a femoral vein was performed in all cases resulting in re-establishment of blood circulation. The procurement of the vein was followed by pronounced impairments of the lymphatic and venous outflow.
  
  
  CONCLUSIONS
  Primary autovenous reconstruction of the aortoiliac segment in patients with purulent necrotic impairments is less risky from the point of view of late complications than implantation of an artificial graft and is more advantageous from the point of view of quality of life than primary high amputation.
authors.forename: A A
authors.initials: AA
authors.lastname: Lyzikov
authors.forename: A A
authors.initials: AA
authors.lastname: Pechenkin
mesh_terms: D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D005268:Femoral Vein / Q000637:transplantation*; D006083:Graft Occlusion, Vascular / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D007083:Iliac Artery / Q000000981:diagnostic imaging / Q000601:surgery; D023821:Limb Salvage / Q000379:methods; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D061646:Operative Time; D018579:Patient Selection; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D011859:Radiography; D012039:Regional Blood Flow; D012086:Reoperation / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies; D014182:Transplantation, Autologous / Q000379:methods; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects* / Q000379:methods