The First Experience of Using Allografts in Surgery of Main Arteries of Lower Limbs
The article describes the experience of using allografts in surgery of the main arteries of the lower limbs. The urgency of using bioprostheses is briefly shown. The management of patients with infectious complications remains an unsolved problem in vascular surgery. Reconstructive vascular surgery...
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| Format: | Article |
| Language: | Russian |
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Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2020-10-01
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| Series: | Неотложная медицинская помощь |
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| Online Access: | https://www.jnmp.ru/jour/article/view/956 |
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| author | R. E. Kalinin I. A. Suchkov V. V. Karpov A. S. Pshennikov A. A. Egorov |
| author_facet | R. E. Kalinin I. A. Suchkov V. V. Karpov A. S. Pshennikov A. A. Egorov |
| author_sort | R. E. Kalinin |
| collection | DOAJ |
| description | The article describes the experience of using allografts in surgery of the main arteries of the lower limbs. The urgency of using bioprostheses is briefly shown. The management of patients with infectious complications remains an unsolved problem in vascular surgery. Reconstructive vascular surgery is often repeated. Operations are often performed in the presence of extensive necrosis and trophic ulcers. The autovein is not always available for reconstruction of the main artery , which is why the issue of choosing a material for repeated reconstruction remains relevant. The medical literature has shown the tendency of xenoprostheses to aneurysmal transformation in the postoperative period. There is not a lot of information in the world and domestic sources on the use of arterial allografts. The lack of clear indications and contraindications for use, optimal preservation periods, the choice of the necessary preservatives and a suitable medium do not allow the widespread use of allografts in practical surgery if there is access to the technology of vascular collection, conservation and transplantation. The problem of using allografts requires further study. In this regard, the experience of using allografts in two nonstandard clinical situations is presented. It was concluded that it is possible to effectively use freshly prepared arterial allografts from a postmortem donor during reconstruction in patients with critical ischemia of the lower extremities in the absence of a suitable autovein and the impossibility of using a synthetic prosthesis. |
| format | Article |
| id | doaj-art-f3b2b69ebccc434491a55d21c8d73e7e |
| institution | Kabale University |
| issn | 2223-9022 2541-8017 |
| language | Russian |
| publishDate | 2020-10-01 |
| publisher | Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department |
| record_format | Article |
| series | Неотложная медицинская помощь |
| spelling | doaj-art-f3b2b69ebccc434491a55d21c8d73e7e2025-08-20T03:35:06ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172020-10-019344244810.23934/2223-9022-2020-9-3-442-448622The First Experience of Using Allografts in Surgery of Main Arteries of Lower LimbsR. E. Kalinin0I. A. Suchkov1V. V. Karpov2A. S. Pshennikov3A. A. Egorov4I.P. Pavlov Ryazan State Medical University of the Ministry of Health of the Russian FederationI.P. Pavlov Ryazan State Medical University of the Ministry of Health of the Russian FederationRyazan Region Regional Clinical HospitalI.P. Pavlov Ryazan State Medical University of the Ministry of Health of the Russian Federation; Ryazan Region Regional Clinical HospitalI.P. Pavlov Ryazan State Medical University of the Ministry of Health of the Russian Federation; Ryazan Region Regional Clinical HospitalThe article describes the experience of using allografts in surgery of the main arteries of the lower limbs. The urgency of using bioprostheses is briefly shown. The management of patients with infectious complications remains an unsolved problem in vascular surgery. Reconstructive vascular surgery is often repeated. Operations are often performed in the presence of extensive necrosis and trophic ulcers. The autovein is not always available for reconstruction of the main artery , which is why the issue of choosing a material for repeated reconstruction remains relevant. The medical literature has shown the tendency of xenoprostheses to aneurysmal transformation in the postoperative period. There is not a lot of information in the world and domestic sources on the use of arterial allografts. The lack of clear indications and contraindications for use, optimal preservation periods, the choice of the necessary preservatives and a suitable medium do not allow the widespread use of allografts in practical surgery if there is access to the technology of vascular collection, conservation and transplantation. The problem of using allografts requires further study. In this regard, the experience of using allografts in two nonstandard clinical situations is presented. It was concluded that it is possible to effectively use freshly prepared arterial allografts from a postmortem donor during reconstruction in patients with critical ischemia of the lower extremities in the absence of a suitable autovein and the impossibility of using a synthetic prosthesis.https://www.jnmp.ru/jour/article/view/956allograftallograft vessel transplantationsuppuration of the prosthesis bed |
| spellingShingle | R. E. Kalinin I. A. Suchkov V. V. Karpov A. S. Pshennikov A. A. Egorov The First Experience of Using Allografts in Surgery of Main Arteries of Lower Limbs Неотложная медицинская помощь allograft allograft vessel transplantation suppuration of the prosthesis bed |
| title | The First Experience of Using Allografts in Surgery of Main Arteries of Lower Limbs |
| title_full | The First Experience of Using Allografts in Surgery of Main Arteries of Lower Limbs |
| title_fullStr | The First Experience of Using Allografts in Surgery of Main Arteries of Lower Limbs |
| title_full_unstemmed | The First Experience of Using Allografts in Surgery of Main Arteries of Lower Limbs |
| title_short | The First Experience of Using Allografts in Surgery of Main Arteries of Lower Limbs |
| title_sort | first experience of using allografts in surgery of main arteries of lower limbs |
| topic | allograft allograft vessel transplantation suppuration of the prosthesis bed |
| url | https://www.jnmp.ru/jour/article/view/956 |
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