Journal «Angiology and Vascular Surgery» • 

1998 • VOLUME 4 • №2

THE SURGICAL TREATMENT OF DISTAL ARTERIAL OCCLUSIONS OF THE UPPER EXTREMITIES (REVIEW OF LITERATURE)

N.P. Makarova, O.A. Lobut
Chair of Surgical Diseases №1, Urals State Medical Academy, Sverdlovsk Regional Centre of Vascular Surgery,
Ekaterinburg, Russia

Chronic ischemie of the upper extremities accounts for 4.7-5% of all vascular diseases. Amputation of the upper extremities because of chronic ischemia is performed in 1 to 6% of cases. The mean age of such patients constitutes only 55.4 years. In distal arterial occlusions, particularly in the absence of the distal anticipating bed, the use of different surgical treatment modalities such as cervical, thoracic, digital, periarterial sympathectomy; arterialiwtion of the venous bed; autotransplantatlon of the greater omentum; revasculariwtion osteotomy together with reconstructive operations enables to avoid amputation of the involved extremity and to minimize the percentage of temporary and persistent disability. It should be marked that the treatment of the given group patients cannot be regarded as a purely surgical problem, for it requires attention and effort of many professionals like rheumatologists, immunologists and others.

P. 151

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