I P Mikhailov, V A Arustamyan, B V Kozlovsky, L S Kokov
{"title":"[Repeated common femoral artery bifurcation repair in patients with acute lower limb ischemia and unsatisfactory outflow pathways].","authors":"I P Mikhailov, V A Arustamyan, B V Kozlovsky, L S Kokov","doi":"10.17116/hirurgia202509178","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To analyze and improve postoperative outcomes in patients with acute lower limb ischemia (ALLI) and previous reconstructive infrainguinal interventions.</p><p><strong>Material and methods: </strong>The authors analyzed postoperative outcomes after 54 repeated interventions in patients with thrombosis of common femoral artery bifurcation, deep femoral artery and non-functioning femoropopliteal (tibial) prosthesis.</p><p><strong>Results: </strong>External-iliac-deep femoral replacement were performed in 28 (52%) patients, extended deep femoral artery repair - in 16 (29.6%), aorto(iliac)-deep femoral replacement - in 8 (14.8%) cases.</p><p><strong>Conclusion: </strong>External-iliac-deep femoral replacement is a preferable and effective method to restore pulsatile blood flow in deep femoral artery.</p>","PeriodicalId":35986,"journal":{"name":"Khirurgiya","volume":" 9","pages":"78-86"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Khirurgiya","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17116/hirurgia202509178","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To analyze and improve postoperative outcomes in patients with acute lower limb ischemia (ALLI) and previous reconstructive infrainguinal interventions.
Material and methods: The authors analyzed postoperative outcomes after 54 repeated interventions in patients with thrombosis of common femoral artery bifurcation, deep femoral artery and non-functioning femoropopliteal (tibial) prosthesis.
Results: External-iliac-deep femoral replacement were performed in 28 (52%) patients, extended deep femoral artery repair - in 16 (29.6%), aorto(iliac)-deep femoral replacement - in 8 (14.8%) cases.
Conclusion: External-iliac-deep femoral replacement is a preferable and effective method to restore pulsatile blood flow in deep femoral artery.