Te deep artery of the thigh is the surgeon's hope, the patient's salvation
https://doi.org/10.17238/2072-3180-2022-1-21-40
Abstract
Introduction. One of the most difcult problems of obliterating diseases of the abdominal aorta and arteries n/a is the variants of multiple and diffuse vascular changes. Te aim of the study was to improve the results of surgical treatment of patients with obliterating atherosclerosis by reasonable use of the deep femoral artery.
Materials and methods of research. Tis paper presents the experience of surgical treatment of 121 patients with the use of HBA plastic surgery (118 men and 3 women) who underwent revascularization in the Department of Vascular Surgery of the University clinic Mikaelian Institute of Surgery" in the period from 2008 to 2020.
Results. In bypass operations on the aorto-iliac-femoral segment, the use of HBA as the only receptive collector in 87.19% of cases makes it possible to achieve an improvement in the clinical status in the immediate postoperative period (in 92.6% with GPID <0.4; in 81.9% with GPID ≥ 0.4 (p < 0.02).
Conclusion. Te reserve potential of the HBA pool, manifested in the dynamics of the postoperative period, allows to compensate for blood circulation during the year afer surgery and preserve the viability of the limb.
About the Authors
T. L. Sultanyan
M. Heratsi Yerevan Medical University
Armenia
Armenia
Sultanyan Tigran Lvovich – Doctor of Medical Sciences, Professor,
Head. Department of Angiology and Vascular Surgery, Head of Vascular Surgery Service of medical centers ‘Mikaelyan”, “Asthik”, “Vl. Avagyan”, Chairman of the Association of Vascular Surgeons of Armenia.
3740056, Koryun str., 2,Yerevan
A. A. Malkhasyan
M. Heratsi Yerevan Medical University
Armenia
Armenia
Malkhasyan Hayk Andranikovich – Candidate of Medical Sciences, Lecturer on the subject of Vascular Surgery, National Center of Oncology named afer Fanardjian vascular and endovascular surgeon, Slavmed Medical Center, vascular surgeon, member of the Board of the Association of Vascular Surgeons of Armenia.
3740056, Koryun str., 2, Yerevan
References
1. Aslanov A.D., Mizaushev B. A., Logvina O. E., Taukenova L. I., Iskhak L. N. Chronic critical ischemia of the lower joints on the background of atherosclerosis. Methodological recommendations. Nalchik, 2010, 24 p. (In Russ)
2. Belov Yu. V., Sandrikov V. A., Kosenkov A. N. Nazarov A. B., Stepanenko A. B., Minkina S. M., Baymagambetov A. K. Surgical treatment
3. of patients with chronic critical ischemia of the lower extremities of atherosclerotic etiology. Surgery, 1997, № 2, рр. 45–51. (In Russ)
4. Gaibov A.D., Karimzade B. D., Esanaliev U. A. the choice of treatment method for multiple lesions of peripheral vessels. Cardiology and Cardiovascular Surgery, 2011, Vol. 4, № 4, рр. 40–42. (In Russ)
5. Zakharova G. N., Losev R. Z., Gavrilov V. A. Reconstructive operations for occlusive lesions of the aorta and arteries of the lower extremities. Surgery, 1997, № 11, рр. 28–34. (In Russ)
6. Kalinin L. E., Suchkov L. A., Klimentova E. A., Shanaev I. N. Clinical anatomy of deep vessels of the femoral femoral triangle. Angiology and Vascular Surgery, 1921. T. 27. No. 1. Sec. 17-23. (In Russ)
7. Russian Consensus. Diagnosis and treatment of patients with critical lower limb ischemia. Moscow, 2002, 40 р. (In Russ)
8. Rusin B. I., Korsak V. V., Rusin V. V., Gorlenko F. V., Barabosh V. M. Gliboka arteria stegna yak dzherelo tributary for distal reconstructions. Modern Medical Technologies, 2019, № 2, рр. 35–38. (In Ukrain)
9. Adam D.J., Beard J.D., Cleveland T. et al. Bypass versus angioplasty in severe ischemia of the leg (BASIL): multicentre randomized controlled trial. Am.J.Surg., 2005, № 366, pр. 1925–1934.
10. Gaibov A.D., Sultanov D.D., Baratov A.K.et al. Surgical tactics for multiple and diffuse lesions of lower limb arteries. Kardiolserdečno-sosudhir, 2010, № 3, p. 44.
11. Gyurkovics E., Nagy Z., Jámbor G., Kaliszky P. Te role of the V-Y plastics in vascular reconstructions directed to the deep femoral artery. Magy. Seb., 2001, № 54(6), pр. 379–382.
12. Krzyasztof A. Tomashevski et al. Varitions in the origin of the deep femoral artery: A meta-analysis. Clin. Anatomy, 2017, Vol.30, № 1, pр. 106–113
13. Kwon J.H., Shin Ji H. Hypoplastic superfcial femoral artery combined with connection of the deep femoral artery to the popliteal artery. Radiology Case Reports, 2018, Vol. 13, № 1, pр. 39–42.
14. J. Veith et al. Unusual surgical exposures to avoid scarred or infected standard access routes to the common femoral, deep femoral, and popliteal arteries. Vascular and Endovascular Techniques. Journal of Vascular Surgery, 2016, Vol. 64, № 4, pр. 1160–1168.
15. Steven M., Nassef T. Treatment of chronic lower limb ischemia. Vascular and Endovascular Surgery, 2006, 3rd ed., pр. 35–68.
Review
For citations:
Sultanyan T.L., Malkhasyan A.A. Te deep artery of the thigh is the surgeon's hope, the patient's salvation. Moscow Surgical Journal. 2022;(1):21-40. (In Russ.) https://doi.org/10.17238/2072-3180-2022-1-21-40
Views:
472
Email this article 