title: [Free autovenous graft with destructed valves in treatment of severe ischemia of lower extremities].
abstract: OBJECTIVE
  to improve treatment of patients with severe atherosclerotic lesion of lower extremities arteries followed by critical ischemia by optimization of femoropopliteal bypass surgery.
  
  
  METHODS
  Treament and survey of 60 patients with severe atherosclerotic lesion of femoropopliteotibial segment and critical lower limb ischemia were analyzed. Patients were divided into 2 groups depending on technique of femoropopliteal bypass. Conventional in situ autovenous technique was used in group 1. In the second group we used original method of free autovenous graft with destructed valves.
  
  
  RESULTS
  Technique of free autovenous graft with destructed valves decreases incidence of early postoperative complications by 13.3%, remote thrombosis of graft by 13.3%. Also it increases physical and mental components of health by 7.9% and 3.1% respectively.
  
  
  CONCLUSIONS
  Use of free autovenous graft with destructed valves is reasonable and improves results of treatment.
authors.affiliation: Kursk State Medical University.
authors.forename: B S
authors.initials: BS
authors.lastname: Sukhovatykh
authors.affiliation: City Clinical Hospital of Emergency Medical Assistance, Kursk, Russia.
authors.forename: L N
authors.initials: LN
authors.lastname: Belikov
authors.affiliation: Kursk State Medical University.
authors.forename: M B
authors.initials: MB
authors.lastname: Sukhovatykh
authors.affiliation: Kursk State Medical University.
authors.forename: D V
authors.initials: DV
authors.lastname: Sidorov
authors.affiliation: Kursk State Medical University.
authors.forename: M A
authors.initials: MA
authors.lastname: Inarkhov
authors.affiliation: City Clinical Hospital of Emergency Medical Assistance, Kursk, Russia.
authors.forename: E B
authors.initials: EB
authors.lastname: Inokhodova
mesh_terms: D000368:Aged; D000792:Angiography / Q000379:methods; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D006083:Graft Occlusion, Vascular / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D058729:Peripheral Arterial Disease / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011150:Popliteal Artery / Q000000981:diagnostic imaging / Q000601:surgery*; D012426:Russia; D012501:Saphenous Vein / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000637:transplantation; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color / Q000379:methods; D058017:Vascular Grafting / Q000009:adverse effects / Q000379:methods; D014654:Vascular Patency; D055422:Venous Valves / Q000503:physiopathology / Q000601:surgery