Journal «Angiology and Vascular Surgery» • 

1997 • VOLUME 3 • №1

DIAGNOSTICS AND TREATMENT OF ARTERIOVENOUS MALFORMATIONS OF THE FOOT

V.N. Dan, V.V. Goloma, S.A. Tsygelnikov, I.S. Tsyganov, P.V. Sarygin, I.V. Shutikhina
Department of Vascular Surgery, I.V. Vishnevslcy Institute of Surgery,
Russian Academy of Medical Sciences,
Moscow, Russia

The paper describes the experience gained between 1984 and 1995 with the management of 20 patients suffering row arteriovenous malformations of the foot. Of these, 19 patients underwent surgical treatment. To confirm the diagnosis and assess the treatment efficacy, use was made of venous occlusion plethysmography, Doppler ultrasound for evaluation of the waveshape and linear blood flow velocity together with measurements of segmental pressure and transcutaneous oxygen tension. Anatomic diffusion of lesion was evaluated with the help of computed tomography. When choosing the treatment policy we were guided by the data supplied by arteriography. The efficacy of different surgical interventions was estimated on the basis of the immediate and long-term results. It has been established that the use of the combined technique (consecutive roentgeno-endovascular occlusion of the pedal arteries and surgical resection of the involvedtissues) provided beneficial long-term results in 46.2% of the cases. Besides, it has been discovered that roentgenoendovascular occlusion of the pedal arteries is more effective than intraoperative one. Purely surgical excision of the soft tissues containing pathologic arteriovenous fistulas or isolated roentgenoendovascular occlusion of the trunks of the crural arteries are little effective interventions.

P. 97

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