[Surgical treatment of recurrent thrombosis after aorto-femoral reconstruction]. / Khirurgiia mnogokratnykh retrombozov posle aortobedrennykh rekonstruktsii.

The article describes an experience with the surgical treatment of repeated re-thromboses after aorto-femoral reconstructions with a bifurcation explant in 34 patients with the Leriche syndrome of atherosclerotic etiology who were subjected to 110 reoperations. Different kinds of reconstructions for revascularization of extremities are considered. Favorable results were obtained in 76.5% of the cases. Lethality was 2.73% per 110 operations. Long-term results were studied during 13 years. The bifurcation explant was found to be functioning in 30% of the cases observed.

[Restorative vascular operations in treating severe ischemia of the lower extremities in arteriosclerosis]. / Vosstanovitel'nye sosudistye operatsii v lechenii tiazheloi ishemii nizhnikh konechnostei pri ateroskleroze.

On the basis of their personal experience in the treatment of 266 patients with severe ischemia of the lower extremity the authors believe it to be expedient under threat of amputation to perform reconstructive vascular operations on the aorto-iliac and femoral-popliteal segments. Repeated revascularization of the extremity for reocclusion in the late periods after the first reconstructive operation was conducted on 116 patients. The frequency of amputations and mortality in vascular reconstructive operations are considerably lower than those in non-operative treatment and in primary amputation of the extremity.

[Repeated plastic operations on the abdominal aorta and main arteries of the pelvis and lower limbs in arteriosclerotic occlusion]. / Povtornye plasticheskie operatsii na briushnoi aorte, magistral'nykh arteriiakh taza i nizhnikh konechnostei pri ikh ateroskleroticheskikh okkliuziiakh

Among 600 patients operated on primarily for atherosclerotic lesions of the aorto-iliac-femoral zone (various plastic operations) secondary interventions were undertaken in 140 persons with re-occlusions of the operated segments. All patients were subjected to secondary reconstructive-plastic operations that gave good results--elimination of ischaemia and preservation of the extremity--in 77.2% of the cases. In 12.8% of them the extremity was amputated. Postoperative mortality comprised 10%.