HYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS

Cardiovascular diseases occupy one of the main groups in the structure of morbidity in most countries. A significant part of this group is affected by the main arteries of the lower extremities. Atherosclerotic diseases of the terminal aorta are combined with stenotic-occlusive lesions of the iliac-...

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Autores principales:	V.Y. Smorzhevsky, I.S. Pizhovskyi, P.A. Gindich
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:	hybrid operation, stenotic-occlusive lesions of the iliac-femoral and femoral-popliteal arterial segments. Medicine R
Acceso en línea:	https://doaj.org/article/d52fe727bde64e95a5c8704a408bb34f
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spelling	oai:doaj.org-article:d52fe727bde64e95a5c8704a408bb34f2021-11-12T18:51:16ZHYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS2616-486810.31612/2616-4868.4(18).2021.04https://doaj.org/article/d52fe727bde64e95a5c8704a408bb34f2021-11-01T00:00:00Zhttp://cp-medical.com/index.php/journal/article/view/184https://doaj.org/toc/2616-4868Cardiovascular diseases occupy one of the main groups in the structure of morbidity in most countries. A significant part of this group is affected by the main arteries of the lower extremities. Atherosclerotic diseases of the terminal aorta are combined with stenotic-occlusive lesions of the iliac-femoral, femoral-popliteal and popliteal-tibial arterial segments. Timely diagnosis and choice of treatment to maintain a full life remains one of the most pressing medical problems today. Comprehensive drug therapy used in the treatment of this pathology is ineffective and leads to limb loss, which leads to limited mobility, ability to self-care, contributes to social maladaptation and requires the involvement of the working population to care for the patient. All of the above has led to an expansion of readings to restorative operations aimed at preserving the limbs. However, reconstructive surgery of stenotic-occlusive diseases of the arteries of the lower extremities today is a complex and far from unresolved problem, which contributes to the development of new research to select the optimal method of surgical treatment. The article presents data on hybrid surgical interventions (open surgery and stenting) in 59 patients with chronic ischemia of the lower extremities. The early postoperative period in 4 (6.8%) patients was complicated by hematoma and in 5 patients (8.5%) by postoperative wound lymphorrhea. Hybrid surgeries, in chronic lower extremity ischemia in patients with multilevel lesions of the main arteries, are effective and minimally invasive, especially in patients at high risk of complications. Such technologies allow to save the limb and life of the patient with the minimum trauma, to reduce duration of stay in a hospital.V.Y. SmorzhevskyI.S. PizhovskyiP.A. GindichState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Departmentarticlehybrid operation, stenotic-occlusive lesions of the iliac-femoral and femoral-popliteal arterial segments.MedicineRENRUUKКлінічна та профілактична медицина, Vol 4, Iss 18, Pp 27-31 (2021)
institution	DOAJ
collection	DOAJ
language	EN RU UK
topic	hybrid operation, stenotic-occlusive lesions of the iliac-femoral and femoral-popliteal arterial segments. Medicine R
spellingShingle	hybrid operation, stenotic-occlusive lesions of the iliac-femoral and femoral-popliteal arterial segments. Medicine R V.Y. Smorzhevsky I.S. Pizhovskyi P.A. Gindich HYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS
description	Cardiovascular diseases occupy one of the main groups in the structure of morbidity in most countries. A significant part of this group is affected by the main arteries of the lower extremities. Atherosclerotic diseases of the terminal aorta are combined with stenotic-occlusive lesions of the iliac-femoral, femoral-popliteal and popliteal-tibial arterial segments. Timely diagnosis and choice of treatment to maintain a full life remains one of the most pressing medical problems today. Comprehensive drug therapy used in the treatment of this pathology is ineffective and leads to limb loss, which leads to limited mobility, ability to self-care, contributes to social maladaptation and requires the involvement of the working population to care for the patient. All of the above has led to an expansion of readings to restorative operations aimed at preserving the limbs. However, reconstructive surgery of stenotic-occlusive diseases of the arteries of the lower extremities today is a complex and far from unresolved problem, which contributes to the development of new research to select the optimal method of surgical treatment. The article presents data on hybrid surgical interventions (open surgery and stenting) in 59 patients with chronic ischemia of the lower extremities. The early postoperative period in 4 (6.8%) patients was complicated by hematoma and in 5 patients (8.5%) by postoperative wound lymphorrhea. Hybrid surgeries, in chronic lower extremity ischemia in patients with multilevel lesions of the main arteries, are effective and minimally invasive, especially in patients at high risk of complications. Such technologies allow to save the limb and life of the patient with the minimum trauma, to reduce duration of stay in a hospital.
format	article
author	V.Y. Smorzhevsky I.S. Pizhovskyi P.A. Gindich
author_facet	V.Y. Smorzhevsky I.S. Pizhovskyi P.A. Gindich
author_sort	V.Y. Smorzhevsky
title	HYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS
title_short	HYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS
title_full	HYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS
title_fullStr	HYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS
title_full_unstemmed	HYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS
title_sort	hybrid surgery in multi-floor atherosclerotic inflammation of the main arteries of the lower limbs
publisher	State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department
publishDate	2021
url	https://doaj.org/article/d52fe727bde64e95a5c8704a408bb34f
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HYBRID SURGERY IN MULTI-FLOOR ATHEROSCLEROTIC INFLAMMATION OF THE MAIN ARTERIES OF THE LOWER LIMBS

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