Journal «Angiology and Vascular Surgery» • 

2001 • VOLUME 7 • №2

SURGICAL TREATMENT OF FEMORO-POPLITEO-TIBIAL ARTERIAL OCCLUSIONS IN PATIENTS WITH CRITICAL ISCHEMIA

Z.Z. Karimov
Department of Vascular Surgery Academician V. Vakhidov Research Center of Surgery, Uzbekistan
Ministry of Health, Tashkent, Uzbekistan

In the Department of Vascular Surgery V. Vakhidov Research Center of Surgery, 245 surgical interventions were carried out in 194 patients with lower limb critical ischemia caused by occlusive lesions of femoro-popliteo-tibial arterial segments. Intraoperative debitometry appeared to be appropriate method of patency assessment in distal arterial segments. Deep femoral artery (DFA) is well known and crucial factor of limb salvage. Nevertheless DFA demanded serious reconstruction in 55% of our patients (80 operations). Unfortunately even expanded reconstruction of DFA sometimes appeared insufficient for dissolution of critical ischemia. In 19% of patients these operations were ineffective. Good results were obtained in 38 patients who underwent tibial artery shunting at different levels. But patients with segmental obstruction of femoral arteries and arterial occlusions in distal leg or foot were considered inoperable. In the last cases we preferred relief arteriovenous anastomoses based on debitometry data. Experience in surgical treatment of combined occlusive femoro-popliteo-tibial lesions justifies the use of wide range of reconstructive procedures. While direct revascularization is considered the most effective, relief arteriovenous anastomoses can expand operative competence and improve treatment outcomes for this severe illness.

KEY WORDS: femoro-popliteo-tibial occlusion, critical ischemia.

P. 92

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