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WAYS OF IMPROVEMENT OF LOOP ENDARTERECTOMY RESULTS FROM ILIAC-FEMORAL SEGMENT

https://doi.org/10.24884/0042-4625-2015-174-2-47-51

Abstract

The article presents an analysis of treatment results of 91 patients with iliac-femoral segment artery occlusion at the period from 2008 to 2014. Patients were divided into 2 groups: main group (n=30) consisted of patients who undergoing a half-closed loop endarterectomy with following implantation of stent-grafts in this area and control group (n=61) had patients whom were performed routine half-closed loop endarterectomy. The II degree of ischemia of lower extremities was in 88 (96,7%) patients and III degree had 3 (3,3%) patients. The areas of abnormalities of intravascular pattern were detected in 100% of cases in intraoperative angiography. They were modified using stent-grafts. A primary vascular patency was 100% in the first group and it numbered 65% in the second group during 5 years. The intraoperative angiography control with stent-graft implantation to the area of endarterectomy allowed reliable improvement of treatment results.

About the Authors

A. S. Ivanov
Russian Research Centre of Radiology and Surgical Technologies
Russian Federation


D. N. Maistrenko
Russian Research Centre of Radiology and Surgical Technologies
Russian Federation


M. I. Generalov
Russian Research Centre of Radiology and Surgical Technologies
Russian Federation


F. K. Zherebtsov
Russian Research Centre of Radiology and Surgical Technologies
Russian Federation


A. N. Oleshchuk
Russian Research Centre of Radiology and Surgical Technologies
Russian Federation


D. A. Granov
Russian Research Centre of Radiology and Surgical Technologies
Russian Federation


A. V. Gusinskiy
Federal V. A. Almazov Medical Research Centre
Russian Federation


I. V. Mikhailov
Federal V. A. Almazov Medical Research Centre
Russian Federation


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Review

For citations:


Ivanov A.S., Maistrenko D.N., Generalov M.I., Zherebtsov F.K., Oleshchuk A.N., Granov D.A., Gusinskiy A.V., Mikhailov I.V. WAYS OF IMPROVEMENT OF LOOP ENDARTERECTOMY RESULTS FROM ILIAC-FEMORAL SEGMENT. Grekov's Bulletin of Surgery. 2015;174(2):47-51. (In Russ.) https://doi.org/10.24884/0042-4625-2015-174-2-47-51

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ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)