ABSTRACT
Treatment of multilevel atherosclerotic lesions of the lower limb arteries is an acute problem in modern medicine. There is no a single treatment algorithm. Hybrid technologies are one of the possible treatment options. There are reasonable assumptions that these technologies can at least partially solve this problem. Minor trauma is an undoubted advantage of hybrid technologies. Therefore, these approaches are advisable in severe patients with various comorbidities and contraindications for traditional methods. Therefore, analysis of hybrid methods is of great interest for cardiovascular surgeons. Hybrid method is now recognized as one of the most effective and minimally traumatic treatment for patients with atherosclerotic lesions of the lower extremities.
Subject(s)
Arteries , Atherosclerosis , Humans , Lower Extremity/surgery , Algorithms , Atherosclerosis/complications , Atherosclerosis/diagnosis , Atherosclerosis/surgery , ContraindicationsABSTRACT
The article reflects the experience in and efficacy of endovascular interventions in patients presenting with type C and D lesions of the superficial femoral artery (SFA) according to the TASC II classification. The study included a total of 89 patients with the pathology involved. The obtained findings demonstrated encouraging immediate and remote results of the interventions performed, thus making it possible to recommend the use of angioplasty and stenting of long occlusions of the SFA, yielding satisfactory results in the majority of cases, both immediately after the operation and in the remote period.
Subject(s)
Arterial Occlusive Diseases/surgery , Endovascular Procedures , Femoral Artery , Limb Salvage , Long Term Adverse Effects , Lower Extremity/blood supply , Aged , Arterial Occlusive Diseases/complications , Arterial Occlusive Diseases/diagnosis , Arterial Occlusive Diseases/physiopathology , Endovascular Procedures/adverse effects , Endovascular Procedures/methods , Female , Femoral Artery/pathology , Femoral Artery/physiopathology , Femoral Artery/surgery , Humans , Ischemia/diagnosis , Ischemia/etiology , Ischemia/surgery , Limb Salvage/adverse effects , Limb Salvage/methods , Long Term Adverse Effects/diagnosis , Long Term Adverse Effects/etiology , Male , Middle Aged , Outcome and Process Assessment, Health Care , Risk Assessment , Risk Factors , Severity of Illness Index , StentsABSTRACT
The article deals with the problems related to acute impairment of mesenteric blood circulation, known as a nosological entity associated with an extremely high mortality rate. The authors point out that there are currently no common approaches to appropriate management of the pathology concerned and define the role of modern minimally invasive methods, which roentgenosurgical interventions belong to, making it possible to rapidly, safely and efficiently cope with the problem of thrombosis of mesenteric vessels, as well as to decrease lethality and improve the prognosis in this cohort of patients. Also presented herein is a detailed description of a clinical case report regarding successful endovascular treatment of a patient suffering from acute thrombosis of the superior mesenteric artery. This is followed by assessing efficacy and safety of the method employed, and, finally, suggesting tactical solutions in treatment of patients presenting with acute pathology of mesenteric vessels.
