RISK FACTORS AFFECTING ON LATE RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH ATHEROSCLEROSIS OBLITERANS IN CRITICAL LIMB ISCHEMIA
https://doi.org/10.21886/2219-8075-2014-1-54-60
Abstract
Purpose: Assess the long-term results of surgical treatment for the determination of arterial reconstruction.Materials and methods: The results of surgical treatment of 227 patients with atherosclerosis and critical ischemia of the lowerlimbs.Results: Given the risk of complications the best results are obtained with a combination of open methods of restoring bloodflow with X-ray endovascular interventions. Draws attention to the importance of the vascular bed of leg. Restoration of bloodflow in it gives the advantage of both the speed of elimination of critical ischemia, and in the duration of the period of remissionand functioning grafts. Comparing the examined groups by time and frequence of occurrence of thrombosis and the need forre-reconstruction obtained statistically significant indices.Summary: Noting the positive effect of stimulation of angiogenesis on the results of surgery.
About the Author
I. I. Katelnitskiy
Rostov State Medical University
Russian Federation
Department of Surgical Diseases № 1
Russian Federation
Department of Surgical Diseases № 1
References
1. Аверьянов М.Ю., Измайлов С.Г. Тромбозы и эмболии магистральных артерий. -Нижний Новгород 2007.-161с.
2. Покровский А.В. Реконструктивные операции при тяжелой ишемии нижних конечностей. Хирургия.2007; 11: 20-27.
3. Покровский А.В. Клиническая ангиология: руководство для врачей. М.: Медицина 2004.-488с.
4. Алмазов В.А., Гуревич В.С., Попов Ю.Г. Структура и функция рецепторов тромбоцита человека. Гематология и трансфузиология. 1990; 10: 25-29.
5. Kosch M., Hausberg M., Westermann G., Koneke J., Matzkies F., Rahn H.R., Kisters K. Alteration in calcium and magnesium content of red cell membranes in patient with primary hypertension. Am. J. Hypertension 2000; 3: 254-258.
6. McDonald, W. Periostitis and Localized Myositis in Polyarteriitis Nodosa/W. McDonald, MP. Blake//Clin Nucl Med. -2004. -Vol. 29. -№ 11. P. 547-549.
7. Свирщевский Е.Б., Чазова Т.Е. Микроциркуляция в нижних конечностях при диабете.//Вестник РАМН.-2002.-№5.-С. 45-51.
8. Мазур Э.М. Тромбоциты. Патофизиология крови. Ф.Д. Шиффман, М.,С.-Пб.:Бином. 2001; 149-281.
9. Handengue A.L., Del-Pino M., Simon A., Levenson J. Erythrocyte disaggregation shear stress, sialic acid, and cell aging in humans. Hypertension 1998; 2: 324-330
10. Ishiyama К. Evaluating Benign and Malignant Musculoskeletal Lesions With Radionuclide Angiography and SPECT Using Tc-99m -MIBb///Clin. Nucl. Med. -2005. -Vol. 30. -№ 9.
11. Балуда В.П., Балуда М.В., Деянов И.И., Тлепшуков И.К. Физиология системы гемостаза 1995; 245.
12. Шиффман Ф.Д. Патофизиология крови. М.: Медицина. 2001; 448.
13. Thomas T.H., Rutherford P.A., Vareesangthip K., Wilkinson R., West I.C. Erythrocyte membrane thiol proteins associated with changes in the kinetics of Na/Li countertransport: a possible molecular explanation of changes in disease. Eur J Clin Invest. 1998; 4: 259-265.
14. GS. Velmahos G.S. Complications and nonclosure rates of fasciotomy for trauma and related risk factors.//World J. Surg. -1997. -Vol. 21. -№ 3. -p. 247-253.
Review
For citations:
Katelnitskiy I.I. RISK FACTORS AFFECTING ON LATE RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH ATHEROSCLEROSIS OBLITERANS IN CRITICAL LIMB ISCHEMIA. Medical Herald of the South of Russia. 2014;(1):54-60. (In Russ.) https://doi.org/10.21886/2219-8075-2014-1-54-60
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