Journal «Angiology and Vascular Surgery» • 

2012 • VOLUME 18 • №1

Hybrid operations in high-operative risk patients with limb critical ischaemia and lesion of the aortoiliac segment

Vachev A.N., Mikhaylov M.S., Sukhorukov V.V., Novozshilov A.V., Krugomov A.V.

Chair of Faculty Surgery Samara State Medical University, Samara, Russia

The article deals with outcomes of managing a total of twenty-nine patients of high operational risk with TASK II type С and D lesions of the aortoiliac segment. All patients were subjected to single-stage hybrid operations: open reconstructive interventions on the infrainguinal zone and stenting of iliac arteries. High risk of coronary complications these patients were running was confirmed in accordance with the European guidelines on perioperative assessment of the patients being elected for extracardiac operative treatment. Critical ischaemia was in all cases reliably relieved. Two patients during predilatation developed haemorrhage due to iliac artery rupture which was the cause of changing over to open operation. No lethal outcomes were observed.

KEY WORDS: lower limb critical ischaemia (LLCI), hybrid operation, stenting.

P. 91

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