Journal «Angiology and Vascular Surgery» • 

2014 • VOLUME 20 • №2

Hybrid operative interventions in patients with multi-level atherosclerotic lesions of lower-limb arteries

Karpenko A.A., Starodubtsev V.B., Ignatenko P.V., Zoloev D.G.

Centre of Vascular and Hybrid Surgery, Novosibirsk Scientific Research Institute for Circulatory Pathology named after Academician E.N. Meshalkin under the RF Ministry of Public Health, Novosibirsk, Russia

The authors share their experience gained in hybrid surgical interventions for multi-level steno-occlusive lesions of the aortoiliac and infrainguinal segments in a total of 96 patients presenting with chronic ischaemia of the lower limbs. The postoperative-period complications included haematomas observed in 9 (9.4%) cases and 6 (6.3%) instances of lymphorrhea occurring in the area of the postoperative wound. There were no lethal outcomes in the immediate postoperative period. The remote results were assessed at follow-up terms varying from 6 to 53 months in 75 (79.7%) patients. Thrombosis of the bypass graft was registered in 6 cases and thrombosis of the stented iliac segment was encountered in 3 cases, which required amputation of the lower limb in 5 (6.7%) patients.

KEY WORDS: hybrid operation, chronic lower-limb ischaemia.

P. 65

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