SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT

Aim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence. The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial...

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Autores principales:	Y. Hupalo, O. Nabolotnyi, B. Kulikovskyi, O. Shved, V. Shaprynskyi, A. Shamrai-Sas, O. Holiachenko, D. Makivchuk, V. Gurianov
Formato:	article
Lenguaje:	EN RU UK
Publicado:	State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department 2021
Materias:	arterial thrombosis, popliteal artery embolism, thromboangiitis obliterans, buerger's disease, popliteal artery aneurysm. Medicine R
Acceso en línea:	https://doaj.org/article/3710e8848d0f41eeaa18de3bae433f63
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spelling	oai:doaj.org-article:3710e8848d0f41eeaa18de3bae433f632021-11-12T18:51:16ZSURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT2616-486810.31612/2616-4868.4(18).2021.02https://doaj.org/article/3710e8848d0f41eeaa18de3bae433f632021-11-01T00:00:00Zhttp://cp-medical.com/index.php/journal/article/view/181https://doaj.org/toc/2616-4868Aim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence. The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial segment arteries was carried out for the period from 2014 to 2020. Depending on the pathogenesis of acute thrombosis of the popliteal-tibial segment arteries, the patients were divided into three groups: Group 1 – 17 (42.5%) patients with acute arterial thrombosis of the popliteal-tibial segment caused by embolism or thrombosis in the background of stenotic-occlusive diseases of the lower extremitiesvessels; Group 2 – 15 (37.5%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of thromboangiitisobliterans of the lower extremities (Buerger's disease); Group 3 – 8 (20%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of popliteal artery aneurysm. During the follow-up period of 2 months, the incidence of rethrombosis and amputation of the lower limb in the patients of Group A was 5.9% and 5.9%, respectively. In Group B, the incidence of rethrombosis and amputation of the lower limb was 73.3% and 40.0%, respectively. In group C, the incidence of rethrombosis and amputation of the lower limb was 12.5% and 12.5%, respectively. Conclusions. In patients with acute arterial thrombosis of the popliteal-tibial segment in the background of embolism or stenotic-occlusive diseases, combined endovascular or hybrid surgical interventions showed better results compared to open thrombectomy, in which rethrombosis was diagnosed in 14.3% of cases. In patients with thromboangiitis obliterans of the lower extremities, regional catheter-directed thrombolysis showed better (p=0,04) results compared to open thrombectomy and endovascular interventions, in which rethrombosis was diagnosed in 90% and 100% of cases, respectively. In patients with popliteal artery aneurysm, open surgical interventions or regional catheter-directed thrombolysis showed better results compared to endovascular interventions, in which rethrombosis was diagnosed in 50% of cases.Y. HupaloO. NabolotnyiB. KulikovskyiO. ShvedV. ShaprynskyiA. Shamrai-SasO. HoliachenkoD. MakivchukV. GurianovState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Departmentarticlearterial thrombosis, popliteal artery embolism, thromboangiitis obliterans, buerger's disease, popliteal artery aneurysm.MedicineRENRUUKКлінічна та профілактична медицина, Vol 4, Iss 18, Pp 10-17 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU UK
topic	arterial thrombosis, popliteal artery embolism, thromboangiitis obliterans, buerger's disease, popliteal artery aneurysm. Medicine R
spellingShingle	arterial thrombosis, popliteal artery embolism, thromboangiitis obliterans, buerger's disease, popliteal artery aneurysm. Medicine R Y. Hupalo O. Nabolotnyi B. Kulikovskyi O. Shved V. Shaprynskyi A. Shamrai-Sas O. Holiachenko D. Makivchuk V. Gurianov SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT
description	Aim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence. The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial segment arteries was carried out for the period from 2014 to 2020. Depending on the pathogenesis of acute thrombosis of the popliteal-tibial segment arteries, the patients were divided into three groups: Group 1 – 17 (42.5%) patients with acute arterial thrombosis of the popliteal-tibial segment caused by embolism or thrombosis in the background of stenotic-occlusive diseases of the lower extremitiesvessels; Group 2 – 15 (37.5%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of thromboangiitisobliterans of the lower extremities (Buerger's disease); Group 3 – 8 (20%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of popliteal artery aneurysm. During the follow-up period of 2 months, the incidence of rethrombosis and amputation of the lower limb in the patients of Group A was 5.9% and 5.9%, respectively. In Group B, the incidence of rethrombosis and amputation of the lower limb was 73.3% and 40.0%, respectively. In group C, the incidence of rethrombosis and amputation of the lower limb was 12.5% and 12.5%, respectively. Conclusions. In patients with acute arterial thrombosis of the popliteal-tibial segment in the background of embolism or stenotic-occlusive diseases, combined endovascular or hybrid surgical interventions showed better results compared to open thrombectomy, in which rethrombosis was diagnosed in 14.3% of cases. In patients with thromboangiitis obliterans of the lower extremities, regional catheter-directed thrombolysis showed better (p=0,04) results compared to open thrombectomy and endovascular interventions, in which rethrombosis was diagnosed in 90% and 100% of cases, respectively. In patients with popliteal artery aneurysm, open surgical interventions or regional catheter-directed thrombolysis showed better results compared to endovascular interventions, in which rethrombosis was diagnosed in 50% of cases.
format	article
author	Y. Hupalo O. Nabolotnyi B. Kulikovskyi O. Shved V. Shaprynskyi A. Shamrai-Sas O. Holiachenko D. Makivchuk V. Gurianov
author_facet	Y. Hupalo O. Nabolotnyi B. Kulikovskyi O. Shved V. Shaprynskyi A. Shamrai-Sas O. Holiachenko D. Makivchuk V. Gurianov
author_sort	Y. Hupalo
title	SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT
title_short	SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT
title_full	SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT
title_fullStr	SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT
title_full_unstemmed	SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT
title_sort	surgical treatment of acute thrombosis arteries of infrapopliteal segment
publisher	State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department
publishDate	2021
url	https://doaj.org/article/3710e8848d0f41eeaa18de3bae433f63
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SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT

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