Revascularization of lower extremities in conditions of high risk for development of reperfusion complications

Keywords: reperfusion complications; revascularization; аtherosclerotic occlusion.

Abstract

Objective. Prophylaxis of the reperfusion complications (RC) occurrence, using application of measures and surgical interventions in a content of revascularization operative treatment of atherosclerotic multilevel occlusion of the lower extremities main arteries in patients after complex preoperative preparation with high risk of the RC occurrence.

Маterials and methods. Revascularization operative intervention was conducted in 46 patients, suffering various occlusions of the lower extremities vessels and high risk of the RC occurrence.

Results. While analyzing the perioperative period course in 7 (15.2%) patients, the signs of RC were diagnosed. In 5 of them a blood flow along arterial bed of the ischemized lower extremities was restored in one stage, in1 – the аоrto/ischio–femoral alloshunting was conducted only, and in 1 - аоrto/ischio–femoral alloshunting on the second day after first operative intervention.

Conclusion. Pathogenetically substantiated preoperative preparation, application of measures and surgical interventions in a content of the revascularization operative treatment for atherosclerotic multilevel occlusion of the lower extremities main arteries in conditions of high risk for the RC occurrence gave the possibility to prevent the complications in 39 (84.8%) patients.

Author Biographies

О. B. Коlotylo, Bukovyna State Medical University, Chernivtsi

Оlexander Bogdanovich Kolotуlo PhD, Associate Professor
assistant professor of surgery №2
Bukovinian State Medical University
+380955446475,
58000 Ukraine, Chernovtsy, Fastovskaya street 2.
kob79@i.ua
http://orcid.org/0000-0003-3905-5052 (Oleksandr Kolotylo)

І. K. Wenger, Gorbachevskyi Ternopil State Medical University

Igor Kasyanovich Wenger
doctor of medical sciences, professor
Head of the Surgery Department №2
Ternopil State Medical University named after I.Ya. Gorbachevsky
+380352151852,
46001 Ukraine, Ternopil st. Clinical 1
http://orcid.org/0000-0003-0170-1995

S. Ya. Коstiv, Gorbachevskyi Ternopil State Medical University

Svyatoslav Yaroslavovich Kostiv
doctor of medical sciences, Associate Professor
assistant professor of surgery №2
Ternopil State Medical University named after I.Ya. Gorbachevsky
+380352151852,
46001 Ukraine, Ternopil st. Clinical 1
svkostiv@gmail.com
http://orcid.org/0000-0002-7963-5425

І. М. Коzlovska, Bukovyna State Medical University, Chernivtsi

Kozlovska Iryna Mykhaylivna PHD, assistant professor,
assistant professor Department of Surgery № 2,
Bukovinian State Medical University,
Address: 2 Theater Square, 58000, Chernivtsi, Ukraina,
tel.: +38 (050) 670–59–13
E-mail: irkakim@rambler.ru
http://orcid.org/0000-0002-7670-8713

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Published
2018-05-26
How to Cite
КоlotyloО. B., WengerІ. K., КоstivS. Y., & КоzlovskaІ. М. (2018). Revascularization of lower extremities in conditions of high risk for development of reperfusion complications. Klinicheskaia Khirurgiia, 85(5), 33-35. https://doi.org/10.26779/2522-1396.2018.05.33
Section
General Problems of Surgery