Thrombosis of the reconstruction segment after revascularization of the aorto/iliac-femoral vascular pool
DOI:
https://doi.org/10.11603/2414-4533.2022.1.12920Keywords:
atherosclerosis, vascular surgery, thrombosis of the reconstruction segmentAbstract
The aim of the work: to identify the causes of thrombosis in the remote postoperative period after aorto/iliac-femoral reconstruction and suggest the extent of aorto/iliac-femoral vascular pool revascularization to prevent them.
Materials and Methods. During 2006–2019, surgical treatment was performed on 522 patients with atherosclerotic stenotic-occlusive process of the aorto/iliac-femoral zone. In the remote postoperative period, 148 (28.35 %) late complications were diagnosed, of which 47 (33.81 %) observations were late thrombosis of the reconstruction segment.
Results and Discussion. Thrombosis of the reconstruction segment of the late postoperative period correlates with the progression of the atherosclerotic process, especially in those parts of the arterial vascular segment that were not covered by surgery. Taking into account the level of stenotic process of the iliac-femoral segment of the contralateral lower extremity and determining the level of peak systolic velocity and resistance index at the level of deep femoral artery and tibioperineal trunk can prevent the development of the reconstruction arterial segment thrombosis. Thus, build on the hemodynamic conditions at the level of the deep femoral artery, the contralateral iliac-femoral arterial segment during aorto/iliac-femoral bypass can prevent the development of thrombosis concerning the reconstruction segment.
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