1. Електронний репозитарій ДВНЗ "УжНУ"
2. Наукова бібліотека УжНУ
3. Вісники та науково-технічні збірники, журнали
4. Наукові вісники УжНУ
5. Науковий вісник УжНУ Серія: Медицина
6. Науковий вісник УжНУ Серія: Медицина. Випуск 2 (44) - 2012

Title:	Вибір методу повторних реконструктивно-відновних операцій на аорто- стегновому сегменті при оклюзії судинного експлантату у віддаленому періоді
Other Titles:	Choice of method of the repeated reconstructively —restoration operations on aorto —femoral segment at occlusion of vascular explant in remote period
Authors:	Воропаєв, В.В. Ковальчук, А.В.
Keywords:	облітеруючий атеросклероз, аорто-стегнове шунтування, віддалені ускладнення, повторні реконструктивно-відновні операції, гіперплазія неоінтими
Issue Date:	2012
Publisher:	ТОВ «Спектраль»
Citation:	Воропаєв, В. В. Вибір методу повторних реконструктивно–відновних операцій на аорто–стегновому сегменті при оклюзії судинного експлантату у віддаленому періоді [Текст] / В. В. Воропаєв, А. В. Ковальчук // Науковий вісник Ужгородського університету / УжНУ. – Ужгород : ТОВ «Спектраль», 2012. – Вип. 2 (44). – С. 38–41. – Бібліогр.: с. 41 (4 назви).
Series/Report no.:	Медицина;
Description:	We analyzed 82 clinical cases of the repeated reconstructively —restoration operations on a aorto —femoral segment in connection with the thromboses of shunts in a remote period. The bifurcational aorto —femoral by — passing was initially executed to 65 (79,3%) patients, one —sided – 17 (20,7%) to the patients. In 79 (96,3%) investigated there was the educed occlusion of one of branch prosthetic appliance, in 3 (3,6%) is an occlusion of all prosthetic appliance. Together with implementation of the aorto —femoral by —passing, 17 (6,1%) from these patients was the done correction of femoropopliteal segment. The repeated appeals of patients were the ischemias of lower limbs conditioned by a relapse. To the patients that entered clinic with a sharp ischemia in 15 (50%) cases, done thrombectomy from prosthetic appliance (branch prosthetic appliance) with a neointimectomy from a distal anastomosis and reconstruction of anastomosis by a synthetic insertion in the deep artery of thigh, by access in overhead one third of thigh, without baring of proximal anastomosis. Thrombectomies from it was succeeded to do thrombectomy from prosthetic appliance only help of the catheters Fogarty, as the thrombotic masses were fresh. In 12 (40%) cases thrombectomy from prosthetic appliance (branch prosthetic appliance) with a neointimectomy from a distal anastomosis, ended the plastic arts of anastomosis by a synthetic patch. At the diffuse defeat of deep artery of thigh or high peripheral resistance in the last, the revision of popliteal artery was done and the femoropopliteal by — passing of autovain was executed in 2 (7%) cases or by prosthetic appliance — in 1 (3%) case. Extremities succeeded to be saved for 80% patients. From 3 (6%) patients in that the defeat of ways of wave became reason of occlusion of prosthetic appliance in 1 (1,2%) case an occlusion of aorta was infrarenal and in 2 (2,4%) cases — at the level of lower mesenterycal artery. For these patients the done resection of aorta higher than level of lower mesenterycal artery, with a thrombectomy from an aorta and bifurcational repeated shunting. To the patients that entered clinic with a chronic ischemia in 2 (4%) cases there was the executed thrombectomy with a neointimectomy and the plastic arts of anastomosis, in 36 (70%) is a thrombectomy from branch of prosthetic appliance with the resection of anastomosis and interposition of insertion of explant and deep artery of thigh, 8 (16%) is a thrombectomy from branch of prosthetic appliance and at the same time femoropopliteal or tibial by —passing, 2(4%%) is a thrombectomy from prosthetic appliance with baring of all anastomoses, 3(6%%) — repeated shunting. It is stored in 86,5% extremity. Key words: atherosclerosis, aort􀉳-femoral bypassing, long-term complications, repeated reconstructivelyrestorative operations, neointimal expansion
Type:	Text
Publication type:	Стаття
URI:	https://dspace.uzhnu.edu.ua/jspui/handle/lib/2452
Appears in Collections:	Науковий вісник УжНУ Серія: Медицина. Випуск 2 (44) - 2012

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