REVACULARIZING OPERATIONS IN PATIENTS WITH ATHEROSCLEROTIC LESIONS OF THE SUPERFICIAL FEMORAL ARTERY

Tarabrin A.S., Chupin A.V.
Centre of Vascular Surgery of Clinical Hospital №83, Russian Federal Biomedical Agency,
Moscow, Russia

Intermittent claudication appears to be the main symptom of peripheral artery disease encountered in 10% of the population over 70 years old. Occlusive stenotic lesions of the femoropopliteal segment (FPS) predominate in the structure of limb artery disease, in connection with which the most frequently performed operations are infrainguinal revascularization procedures. Older-age-group patients are known to have a variety of concomitant pathologies such as coronary artery disease (CAD), diabetes mellitus (DM), etc. Decreasing the incidence rate of perioperative complications and mortality, as well as the scope of anaesthesiological support and duration of in-hospital treatment in such patients is possible at the expense of diminishing the operative wound and may be achieved by means of minimally invasive interventions. The review contains the literature data concerning various types of infrainguinal interventions in patients presenting with femoropopliteal occlusion: balloon angioplasty and stenting, femoropopliteal bypass grafting, remote endarterectomy, etc. Special mention should be made of treating the patients with critical ischaemia. The problem of choosing between surgical and endovascular treatment for occlusive stenotic damage to the superficial femoral artery is featured insufficiently in the present-day literature. Therefore, further studies should be conducted.

KEY WORDS: balloon angioplasty (BA), stenting (ST), femoropopliteal occlusion (FPO), femoropopliteal bypass (FPB), superficial femoral artery (SFA), critical ischaemia (CI).

P. 158

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