Revascularization in patients with high risk of eveloping the reperfusion syndrome

Authors

  • I. K. Venher I. Horbachevsky Ternopil State Medical University
  • O. B. Kolotilo Bukovynian State Medical University
  • S. Ya. Kostiv I. Horbachevsky Ternopil State Medical University
  • L. V. Shkrobot I. Horbachevsky Ternopil State Medical University
  • M. O. Husak I. Horbachevsky Ternopil State Medical University
  • R. V. Zvarich I. Horbachevsky Ternopil State Medical University

DOI:

https://doi.org/10.11603/2414-4533.2017.2.7740

Keywords:

atherosclerotic occlusion, reperfusion syndrome, staged revascularization.

Abstract

The aim of the work: to prevent reperfusion complications by conducting staged revascularization of aorto-femoral-popliteal segment in patients with high risk of developing the reperfusion syndrome.

Materials and Methods. The paper presents the results of examination and treatment of 31 patients with atherosclerotic lesion of aorta and main arteries of the lower extremities. The willingness of organism to developing the reperfusion complications was evaluated by con­tent in blood serum C-reactive protein, lactate, level of endogenous intoxication, level intradermal blood flow to the rear foot. Preoperative preparation of patients included prolonged epidural anesthesia, leukapheresis session, antioxidant treatment, intravenous administration of drug Perftoran and Corvitin. Patients were divided into two groups by level of revascularization. Surgical intervention in patients of group I (17 patients) included combined reconstruction aorto-femoral and femoral-popliteal segments in the group II of patients (14 patients) re­construction of these segments were made in two stages.

Results and Discussion. When conducting analysis of current perioperative period we found that the degree of manifestation the reperfusion syndrome after reconstructive surgery in patients of group II was 5.8 times lower than in patients of the group I. Revascu­larization of aorto-femoro-popliteal segment was stages, held against the backdrop of complex preoperative preparation and included a session leukapheresis, antioxidant therapy with intravenous drugs Perftoran and Corvitin allowed to reduce the incidence of reperfusion complications.

Author Biography

S. Ya. Kostiv, I. Horbachevsky Ternopil State Medical University

професор кафедри хірургії №2

References

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Published

2017-07-14

How to Cite

Venher, I. K., Kolotilo, O. B., Kostiv, S. Y., Shkrobot, L. V., Husak, M. O., & Zvarich, R. V. (2017). Revascularization in patients with high risk of eveloping the reperfusion syndrome. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 26–29. https://doi.org/10.11603/2414-4533.2017.2.7740

Issue

No. 2 (2017)

Section

ORIGINAL INVESTIGATIONS

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