Choice of the revascularization method for patients with multi- level lesion of lower limb arteries
Abstract
Tactical approaches in patients with multilevel atherosclerotic lesions of the arteries of the lower limbs are discrete.
Aim: to give a comparative description of different methods of revascularization in multilevel changes.
Material and methods. The work was based on observations of 219 patients with multilevel lesions of the arteries of the lower extremities. Patients were divided into 3 groups according to the method of reconstruction: 23 patients were exposed to open interventions; the second group consisted of 143 patients with exclusively endovascular reconstruction methods; the third group consisted of 53 patients with hybrid revascularization methods.
Results. Тhe blood loss in the group of hybrid revascularization methods was lower than with open interventions. Hybrid operations were characterized by less hemodynamic shifts in the periopera- tive period in comparison with convective operations. Hybrid effects showed good immediate results and a low need for re-operative intervention.
Conclusions. Correction of multilevel lesions by means of hybrid interventions has obvious advantages.
Keywords:peripheral atherosclerosis, multi-level lesion, hybrid operations
For citation: Glushkov N.I., Ivanov M.А., Puzdryak P.D., Artemova A.S., Lysenko K.S., Sukhareva Yu.V., Bondarenko P.В. Choice of the revascularization method for patients with multi-level lesion of lower limb arteries. Clin Experiment Surg. Petrovsky J. 2019; 7 (1): 62–8. doi: 10.24411/2308-1198-2019-11008. (in Russian)
Received 23.07.2018. Accepted 06.02.2019.
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