Surgical treatment of the combined occlusal-stenotic affection of extracranial arteries and aorto/iliac-femoral segment in conditions of high risk of development of reperfusion-reoxigenation complications

Authors

  • I. K. Venher I. Horbachevsky Ternopil State Medical University
  • N. I. Herasymiuk I. Horbachevsky Ternopil State Medical University
  • S. Ya. Kostiv I. Horbachevsky Ternopil State Medical University
  • A. R. Vayda I. Horbachevsky Ternopil State Medical University
  • I. I. Loyko I. Horbachevsky Ternopil State Medical University

DOI:

https://doi.org/10.11603/2414-4533.2019.1.9904

Keywords:

occlusion-stenotic lesion, extracranial arteries, aorto/iliac-femoral segment

Abstract

The aim of the work: to improve the results of surgical treatment of combined occlusion-stenotic lesions of extracranial arteries and the aorto/iliac-femoral segment in conditions of high risk of development of reperfusion-reoxygenative complications.

Materials and Methods. There were operated 47 patients with combined lesions of extracranial arteries and aorto-iliac-femoral arterial beds in conditions of high risk of reperfusion-reoxygenative complications. At combined occlusal-stenotic lesions of extracranial arteries and aorto/iliac-femoral segment in conditions of risk of reperfusion-reoxygenative complications, restorative surgical interventions should be performed simultaneously: the first stage is the revascularization of the estacranial arteries, the second is surgical intervention on the aorto/iliac-femoral vessels.

Results and Discussion. With simultaneous revascularization of both hemodynamically significant arterial segments, it is possible to prevent the development of complications such as progression of ischemic cerebrovascular disorders, deepening of lower limb ischemia, severe renal failure and some other formidable reperfusion complications. Along with the above, at the intraoperative stage and in the early postoperative period, one manifestation of transient ischemic attack (extended intervention in extracranial vessels), 3 cases of rhythm and cardiac conduction impairment and 2 manifestations of transient renal failure were diagnosed.

References

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Published

2019-03-25

How to Cite

Venher, I. K., Herasymiuk, N. I., Kostiv, S. Y., Vayda, A. R., & Loyko, I. I. (2019). Surgical treatment of the combined occlusal-stenotic affection of extracranial arteries and aorto/iliac-femoral segment in conditions of high risk of development of reperfusion-reoxigenation complications. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 10–14. https://doi.org/10.11603/2414-4533.2019.1.9904

Issue

No. 1 (2019)

Section

ORIGINAL INVESTIGATIONS

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