RESUMO
Reconstructive operations on the vessels proved to be possible in 275 of 330 patients with "multi-stage occlusions": in 227 patients profound femoral arteries were included into the main blood flow, in 48 patients the blood flow was reestablished in the aorto-iliac and femoro-popliteal segments. Good results were obtained in 81.2% of the patients. Secondary amputation was performed in 9.1%, 8.7% of the patients died. In the postoperative period repeated interventions proved to be necessary in 46 (16.7%) patients.
Assuntos
Arteriopatias Oclusivas/cirurgia , Perna (Membro)/irrigação sanguínea , Humanos , MétodosRESUMO
The work analyzes the causes and results of repeated operations in patients operated earlier for Leriche's syndrome. Primary operations were performed in the following cases: 38 operations for aorto-femoral shunting or prosthesing in patients with "one-storeyed" occlusions of the aorto-iliac segments; 172 operations for the inclusion of the deep femoral artery into the magistral blood flow in patients with associated occlusions of the aorto-iliac and femoro-popliteal segments; 48 operations for simultaneous recovery of blood flow on the both segments when there is a diffuse injury of the femoro-popliteal segment in patients with "many-storeyed" occlusions. Within 7 years repeated operations were performed in 57 patients.
Assuntos
Síndrome de Leriche/cirurgia , Procedimentos Cirúrgicos Vasculares/métodos , Aorta Abdominal/cirurgia , Prótese Vascular , Artéria Femoral/cirurgia , Humanos , Artéria Ilíaca/cirurgia , Artéria Poplítea/cirurgia , Complicações Pós-Operatórias/cirurgia , Recidiva , Trombose/cirurgia , Fatores de Tempo , Procedimentos Cirúrgicos Vasculares/efeitos adversosAssuntos
Aorta Abdominal/cirurgia , Arteriopatias Oclusivas/cirurgia , Artéria Femoral/cirurgia , Artéria Ilíaca/cirurgia , Artéria Poplítea/cirurgia , Adulto , Idoso , Feminino , Humanos , Perna (Membro)/irrigação sanguínea , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Vasculares/métodosRESUMO
Good results of femoro-tibial shunting were obtained by the authors im 79.4% of patients in the early and in 60% in the late period. Surgery was performed in 72 patients.