Journal «Angiology and Vascular Surgery» • 

2008 • VOLUME 14 • №1

SIMULTANEOUS MULTISTOREY BYPASSES IN A POLYSEGMENTAL LESION OF LOWERLIMB ARTERIES IN PATIENTS WITH CRITICAL ISCHAEMIA

Aslanov A.D., Logvina O.E., Taukenova L.I., Iskhak L.N., Nagoeva A.K.
Chair of Hospital Surgery of the KabardinoBalkaria State University,
Department of Vascular Surgery Republican Clinical Hospital,
Nalchik, Russia

The article deals with therapeutic outcomes obtained in treating patients diagnosed with chronic critical ischaemia of the lower extremities, who were subjected to multistorey shunting with the restoration of the major blood flow in the distal vascular bed and with the inclusion of the collateral bloodstream into the unaltered portions of the arterial segments. Also established was a distal anastomosis with the formation of an arteriovenous fistula. In the operated on patients, the manifestations of critical ischaemia of the lower limbs were coped with intraoperatively, and the checkup Dopplerograms taken during the followup period showed the presence of the major blood flow along the bypasses and more distally along the anterior tibial artery.

KEY WORDS: distal shunting, ischaemia of the lower limbs, arteriovenous fistula.

P. 130

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