Reperfusion - reoxygenative syndrome in the reconstruction of the aorto - femoral segment in conditions of chronic critical ischemia – prevention and treatment

Authors

  • I. K. Venher I. Horbachevsky Ternopil National Medical University
  • I. V. Faryna I. Horbachevsky Ternopil National Medical University
  • B. P. Selskyi I. Horbachevsky Ternopil National Medical University
  • K. O. Herasymiuk I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.2.13169

Keywords:

obliterating atherosclerosis, reperfusion-reoxygenative syndrome, revascularisation

Abstract

The aim of the work: to improve the results of reconstructive operations on the aorta and major arteries under conditions of chronic critical ischemia of the lower extremities.

Materials and Methods. The work includes 61 patients with obliterating lesions of the aorta and arteries of the lower extremities of II, IIIA, IIIB, IV stages chronic arterial insufficiency.

For the prevention and treatment of the phenomena of no-reflow and reflow-paradox in the pre-operative period, a complex of proposed measures was implemented.

To diagnose the nature of the lesion of the arterial bed and the features of hemodynamic disturbances, indicators of ultrasound dopple-rography, duplex scanning, X-ray contrast digital angiography were used. To obtain information on changes in capillary blood flow and arteriovenular blood flow, the method of laser doppler fluorometry was used.

Results and Discussion. By volume of revascularization patients were divided into two groups. Operative intervention in group 1 included single-stage aorto-bifermal bypass (19 observations) and one-sided aorto(ileo)-femoral bypass (11 observations). Group 2 included 31 patients who in addition to atherosclerotic occlusion aorto/ilia-femoral segment revealed stenotic-occlusive process femoral-popliteal segment. Dynamic ultrasound monitoring of hemodynamic femoral-popliteal segment postoperative patients in group II revealed a decrease in peak systolic velocity and resistive index, which was an additional indication for reconstruction of the femoral-popliteal segment.

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Published

2022-09-14

How to Cite

Venher, I. K., Faryna, I. V., Selskyi, B. P., & Herasymiuk, K. O. (2022). Reperfusion - reoxygenative syndrome in the reconstruction of the aorto - femoral segment in conditions of chronic critical ischemia – prevention and treatment. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 10–15. https://doi.org/10.11603/2414-4533.2022.2.13169

Issue

No. 2 (2022)

Section

ORIGINAL INVESTIGATIONS

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