[Arteriovenous fistula in the reconstructive surgery of the femoral-popliteal-tibial segments]. / Arteriovenoznye fistuly v rekonstruktivnoi khirurgii okkliuzii bedrenno-podkolenno-bertsovogo segmenta.

Reconstructive operations were carried out in 75 patients with occlusive lesions of the femoropopliteal-tibial segment and poor condition of the outflow tract. In group I consisting of 35 patients, a typical autovenous shunt was formed. A similar operation was conducted in 40 patients of group II with additional creation of an arteriovenous fistula. A method for creation of the fistula suggested by the author is described. Regional hemodynamics was studied in both groups of patients by arteriography, ultrasonic and electromagnetic flow measurement. The positive role of the fistula in increasing the volumetric rate of blood flow in the shunt is shown. The immediate and late-term postoperative results are discussed. Three years later patency was maintained by 26.1% of shunts in group I and by 62.2% in group II.

[Possibilities of improving the results of revascularization in combined lesions of the aorto-iliac and femoro-popliteal segments]. / Vozmozhnosti uluchsheniia rezul'tatov revaskuliarizatsii pri sochetannykh porazheniiakh aortopodvzdoshnogo i bedrennopodkolennogo segmentov.

In cases of associated injuries of the aorto-iliac and femoropopliteal segments the result of revascularization via the profound femoral artery depends on the state of popliteal-tibial segment and profound femoro-popliteal ducts. Among different variants of lesions of the distal bed in patient with "multi-story" occlusions, successful revascularization of the extremity through the profound femoral artery is possible in 85.4%, reconstruction operation is impossible in 2.9% of the cases.

[Reinfusion of blood during reconstructive operations on the aortoiliac segment]. / Reinfuziia krovi pri rekonstruktivnykh operatsiiakh na aortopodvzdoshnom segmente.

The article presents an experience with using reinfusion of autoblood in performing planned reconstructive operations on the aorto-iliac segment in 93 patients. Allogenic hemotransfusions were used to fill up the blood losses in the control group of 82 patients. The postoperative period was shown to be more favorable in patients with reinfusion of autoblood.

[Experience with the treatment of suppuration surrounding synthetic vascular prostheses]. / Opyt lecheniia pri nagnoenii vokrug sinteticheskikh sosudistykh protezov.

Experience with the conservative and operative treatment of suppurations around vascular prostheses in 16 patients is presented. Spread of the purulent inflammation around prostheses from the place of primary suppuration on the femur up to the portions proximal to the inguinal ligament was taking place within the first 1-2 weeks after the appearance of the first symptoms of suppuration. Partial resection of infected portions of the prostheses and substitution of them by autovenous grafts are thought to be more expedient within these terms. Such operations are less traumatic and technically more simple than interventions associated with a complete ablation of aorto-femoral prostheses and a simultaneous substitution of them by new vascular prostheses or transplants.