Journal «Angiology and Vascular Surgery» • 

2012 • VOLUME 18 • №1

A clinical example of operative intervention on previously stented peripheral artery in a patient with critical ischaemia of lower limbs

Tarichko Yu.V.1, Zudin A.M.1, Shugushev Z.Kh.1, Uchkin I.G.2, Talov N.A.1, Khmyrova A.V.1

1) Chair of Hospital Surgery with the Course of Child Surgery of the Russian University of Friendship of Peoples at the base of N.A. Semashko Central Clinical Hospital № 2 of the Open Joint-Stock Company «Russian Railways»
2) Department of Vascular Surgery of the I. M. Sechenov First Moscow State Medical University, at the base of N.A. Semashko Central Clinical Hospital N2 2 of the Open Joint-Stock Company «Russian Railways», Moscow, Russia

The problem of open surgery of peripheral arteries after previously performed interventions is currently of considerable interest. This is associated with the development of roentgenoendovascular technologies, on the one hand, and with the fact that it is not always possible to use them properly, on the other. Nowadays, one may single out a small group of patients having endured balloon angioplasty and stenting of the arterial segment followed by open operation. Of special interest are patients with critical ischaemia of lower extremities. No results of randomized studies dedicated to this problem have yet been published. The present article deals with a clinical case concerning a patient having endured multiple interventional therapeutic procedures including stenting of the iliac-femoral segment. The consequent development of critical ischaemia of lower limbs required emergency revascularization by an open method on the previously stented vessels. The duration of postoperative follow up is more than 12 months.

KEY WORDS: critical ischaemia of the lower limbs, endovascular angioplasty and stenting, thrombectomy.

P. 140

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