I P Mikhailov, V A Arustamyan, B V Kozlovsky, L S Kokov
{"title":"【反复股总动脉分叉修复急性下肢缺血及流出通道不理想患者】。","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":"{\"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}","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}
[Repeated common femoral artery bifurcation repair in patients with acute lower limb ischemia and unsatisfactory outflow pathways].
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.