RESUMO
OBJECTIVE: To present anexperience of arteriovenous fistula formation for hemodialysis in patients with multiple previous formations of vascular access. MATERIAL AND METHODS: Original technique of permanent vascular access was applied in 33 patients. Surgical procedure implies transposition of great saphenous vein from lower leg to thigh and formation of 2 fistulous veins for hemodialysis. RESULTS: Patients are under observation for 8-12 months after surgery. There were no cases of thrombosis within this period.
Assuntos
Derivação Arteriovenosa Cirúrgica/métodos , Diálise Renal , Veia Safena/transplante , Derivação Arteriovenosa Cirúrgica/efeitos adversos , Humanos , Resultado do TratamentoRESUMO
The article presents an experience of arteriovenous fistulas forming and using in 78 patients with end-stage chronic renal failure undergoing hemodialysis. New methods for permanent vascular accesses forming were suggested. These techniques increased the operation period of arteriovenous fistulas.
Assuntos
Derivação Arteriovenosa Cirúrgica , Veia Femoral/cirurgia , Falência Renal Crônica/cirurgia , Complicações Pós-Operatórias , Derivação Arteriovenosa Cirúrgica/efeitos adversos , Derivação Arteriovenosa Cirúrgica/métodos , Feminino , Veia Femoral/fisiopatologia , Humanos , Falência Renal Crônica/fisiopatologia , Masculino , Pessoa de Meia-Idade , Moscou , Complicações Pós-Operatórias/diagnóstico , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/fisiopatologia , Complicações Pós-Operatórias/prevenção & controle , Diálise Renal/métodos , Estudos Retrospectivos , Resultado do Tratamento , Grau de Desobstrução VascularRESUMO
The article deals with general statistical data on surgical treatment of chronic critical lower limb ischaemia on the background of diffuse arterial lesions. Also presented herein is an interesting clinical example of revascularization of a lower limb in diffuse arterial lesions by means of atypical bypass grafting.
Assuntos
Implante de Prótese Vascular , Artéria Femoral , Oclusão de Enxerto Vascular/cirurgia , Claudicação Intermitente/cirurgia , Isquemia/cirurgia , Doença Arterial Periférica/cirurgia , Idoso , Angiografia/métodos , Implante de Prótese Vascular/efeitos adversos , Implante de Prótese Vascular/métodos , Artéria Femoral/diagnóstico por imagem , Artéria Femoral/cirurgia , Humanos , Claudicação Intermitente/etiologia , Claudicação Intermitente/fisiopatologia , Isquemia/etiologia , Isquemia/fisiopatologia , Extremidade Inferior/irrigação sanguínea , Extremidade Inferior/fisiopatologia , Masculino , Doença Arterial Periférica/complicações , Doença Arterial Periférica/fisiopatologia , Reoperação , Índice de Gravidade de Doença , Resultado do Tratamento , Ultrassonografia Doppler Dupla/métodosRESUMO
The article deals with a clinical case report concerning surgical management of a male patient presenting with a ruptured abdominal aortic aneurysm. The postoperative period was complicated by strangulation of inguinal hernia inadvertently neglected during prior surgery, however then treated successfully by tension-free hernioplasty, with due conclusions eventually drawn.
Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Ruptura Aórtica/cirurgia , Hérnia Inguinal/complicações , Laparotomia/métodos , Telas Cirúrgicas , Procedimentos Cirúrgicos Vasculares/métodos , Idoso , Aneurisma da Aorta Abdominal/complicações , Ruptura Aórtica/complicações , Seguimentos , Hérnia Inguinal/cirurgia , Humanos , MasculinoRESUMO
The article deals with therapeutic outcomes obtained in treating patients diagnosed with chronic critical ischaemia of the lower extremities, who were subjected to multi-storey shunting with the restoration of the major blood flow in the distal vascular bed and with the inclusion of the collateral bloodstream into the unaltered portions of the arterial segments. Also established was a distal anastomosis with the formation of an arteriovenous fistula. In the operated on patients, the manifestations of critical ischaemia of the lower limbs were coped with intraoperatively, and the check-up Dopplerograms taken during the follow-up period showed the presence of the major blood flow along the bypasses and more distally along the anterior tibial artery.
Assuntos
Isquemia/fisiopatologia , Isquemia/cirurgia , Extremidade Inferior , Anastomose Cirúrgica , Artéria Femoral/fisiopatologia , Artéria Femoral/cirurgia , Humanos , Extremidade Inferior/irrigação sanguínea , Extremidade Inferior/fisiopatologia , Extremidade Inferior/cirurgia , Masculino , Pessoa de Meia-Idade , Artéria Poplítea/fisiopatologia , Artéria Poplítea/cirurgiaRESUMO
The article is dedicated to management of diabetic patients suffering from chronic critical ischaemia of the lower limbs treated with vasaprostan. The authors analysed herein therapeutic outcomes in a total of 156 patients with vasaprostan administered both as monotherapy and in a combination with surgical management. Good results were also obtained concerning prevention of ischaemic and pyo-necrotic complications in this cohort of patients and respectively a decrease of the number of high amputations.
