ASSESSING THE PROGNOSTIC SIGNIFICANCE OF MORPHOMETRIC PARAMETERS OF VASCULAR WALL INFLAMMATION FOR REMOTE RESULTS OF RECONSTRUCTIVE OPERATIONS IN THE AORTOILIAC ZONE IN PATIENTS WITH ATHEROSCLEROSIS OBLITERANS

Polyantsev A.A., Mozgovoi P.V., Frolov D.V., Novochadov V.V., Spelchuk A.M.
Chair of General Surgery and Pathological Anatomy Volgograd Regional Clinical Hospital №1, Department of Vascular Surgery Volgograd State Medical University,
Volgograd, Russia

The study was aimed at assessing the relationship between the activity (including the inflammatory one) of the atherosclerotic process in the zone of arterial reconstruction in patients undergoing surgery on the aortoiliac arterial segment and long-term thrombotic reocclusions.

The study comprised a total of forty-nine patients, with the postoperative follow-up period amounting to 5 years. We carried out morphological studies of the aortic wall in the zone of the proximal anastomosis and the walls of the common femoral arteries in the zone of distal anastomoses.

It was determined that the presence of morphometric sign of inflammation and atherosclerotic deformity in the preparations of the aortic and arterial walls was accompanied and followed by increased incidence of long-term thrombotic complications in the reconstruction zone with more pronounced progression of the thrombotic process in the arteries of the peripheral bed distal to the reconstruction site.

KEY WORDS: atherosclerosis, lower-limb arteries, operative treatment, remote results.

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