SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMY

OBJECTIVE. The authors would like to consider the possibility and feasibility of simultaneous revascularization of two arterial segments in patients with lower extremity arterial occlusive disease by method of semiclosed loop endarterectomy. MATERIALS AND METHODS. The research included 143 patients....

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Main Authors: V. V. Shlomin, A. V. Gusinskiy, M. L. Gordeev, I. V. Mikhailov, D. N. Maistrenko, T. B. Rakhmatillaev, D. N. Nikolaev, A. V. Shatravka, A. V. Solov’Ev, I. V. Korotkov, K. A. Komissarov, A. I. Mamedova
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2017-04-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/316
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author V. V. Shlomin
A. V. Gusinskiy
M. L. Gordeev
I. V. Mikhailov
D. N. Maistrenko
T. B. Rakhmatillaev
D. N. Nikolaev
A. V. Shatravka
A. V. Solov’Ev
I. V. Korotkov
K. A. Komissarov
A. I. Mamedova
author_facet V. V. Shlomin
A. V. Gusinskiy
M. L. Gordeev
I. V. Mikhailov
D. N. Maistrenko
T. B. Rakhmatillaev
D. N. Nikolaev
A. V. Shatravka
A. V. Solov’Ev
I. V. Korotkov
K. A. Komissarov
A. I. Mamedova
author_sort V. V. Shlomin
collection DOAJ
description OBJECTIVE. The authors would like to consider the possibility and feasibility of simultaneous revascularization of two arterial segments in patients with lower extremity arterial occlusive disease by method of semiclosed loop endarterectomy. MATERIALS AND METHODS. The research included 143 patients. Revascularization of aortofemoral segment was performed on 67 patients. The simultaneous revascularization of aortofemoral and femoropopliteal segments was carried out for 76 patients. The follow-up period was 5 years. RESULTS. There was revealed that the long-term results of multilevel reconstruction were worse that single-level reconstruction. This method requires an individual approach. The best results of simultaneous interventions were obtained in patients aged 60 and older with the III stage of chronic limb ischemia and 2 or 3 working shin arteries. The worst results were observed in patients younger than 50 year old with IV stage of critical limb ischemia and significant lesions of shin arteries.
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series Вестник хирургии имени И.И. Грекова
spelling doaj-art-c85feb6b4f6142c58232d2452802e99c2025-08-20T03:02:11ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252017-04-011762283210.24884/0042-4625-2017-176-2-28-32315SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMYV. V. Shlomin0A. V. Gusinskiy1M. L. Gordeev2I. V. Mikhailov3D. N. Maistrenko4T. B. Rakhmatillaev5D. N. Nikolaev6A. V. Shatravka7A. V. Solov’Ev8I. V. Korotkov9K. A. Komissarov10A. I. Mamedova11Municipal multifield hospital № 2Municipal multifield hospital № 2V.A. Almazov North-Western Federal Research CentreMunicipal multifield hospital № 2Russian Research Centre of Radiology and Surgical TechnologiesMunicipal multifield hospital № 2V.A. Almazov North-Western Federal Research CentreV.A. Almazov North-Western Federal Research CentreMunicipal multifield hospital № 2V.A. Almazov North-Western Federal Research CentreV.A. Almazov North-Western Federal Research CentreV.A. Almazov North-Western Federal Research CentreOBJECTIVE. The authors would like to consider the possibility and feasibility of simultaneous revascularization of two arterial segments in patients with lower extremity arterial occlusive disease by method of semiclosed loop endarterectomy. MATERIALS AND METHODS. The research included 143 patients. Revascularization of aortofemoral segment was performed on 67 patients. The simultaneous revascularization of aortofemoral and femoropopliteal segments was carried out for 76 patients. The follow-up period was 5 years. RESULTS. There was revealed that the long-term results of multilevel reconstruction were worse that single-level reconstruction. This method requires an individual approach. The best results of simultaneous interventions were obtained in patients aged 60 and older with the III stage of chronic limb ischemia and 2 or 3 working shin arteries. The worst results were observed in patients younger than 50 year old with IV stage of critical limb ischemia and significant lesions of shin arteries.https://www.vestnik-grekova.ru/jour/article/view/316arteriosclerosis obliterans of lower extremitiesaortofemoral and femoropopliteal lesionssurgeryresults
spellingShingle V. V. Shlomin
A. V. Gusinskiy
M. L. Gordeev
I. V. Mikhailov
D. N. Maistrenko
T. B. Rakhmatillaev
D. N. Nikolaev
A. V. Shatravka
A. V. Solov’Ev
I. V. Korotkov
K. A. Komissarov
A. I. Mamedova
SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMY
Вестник хирургии имени И.И. Грекова
arteriosclerosis obliterans of lower extremities
aortofemoral and femoropopliteal lesions
surgery
results
title SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMY
title_full SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMY
title_fullStr SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMY
title_full_unstemmed SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMY
title_short SIMULTANEOUS REVASCULARIZATION OF AORTOFEMORAL AND FEMOROPOPLITEAL ARTERIAL SEGMENTS BY SEMICLOSED LOOP ENDARTERECTOMY
title_sort simultaneous revascularization of aortofemoral and femoropopliteal arterial segments by semiclosed loop endarterectomy
topic arteriosclerosis obliterans of lower extremities
aortofemoral and femoropopliteal lesions
surgery
results
url https://www.vestnik-grekova.ru/jour/article/view/316
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