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Khirurgii

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Year 2011 Vol. 19 No 5

GENERAL AND SPECIAL SURGERY

D. F. MYSHLIONAK

THE ROLE OF HYBRID TECHNOLOGIES IN TREATMENT OF PATIENTS WITH MULTISTAGE LOWER LIMBS ATHEROSCLEROTIC LESIONS

Objectives. To study the immediate and distant results of surgical treatment of patients with multistage atherosclerotic lesions of aorto-femoral-popliteal segment.
Methods. The treatment results of 111 patients operated on from 2006 till 2011 in Vitebsk regional clinical hospital were analyzed. Hybrid multistage reconstruction (endovascular intervention on the aorto-iliac segment and open surgery on the femoral-popliteal segment) was performed in 36 (32, 4%) cases. Aortobifemoral reconstructions with deep femoral artery revascularization were performed in 75 cases (67,6%).
Results. Hybrid surgeries showed good immediate and distant results on less traumatism and less complications severity background. Low patients, adherence to the supporting therapy was revealed as well as unsatisfactory control at the ambulatory stage.
Conclusions. Hybrid surgeries may be an effective and safe treatment method that permits to reduce traumatism; it promotes early activation of patients with obtaining good outcomes of treatment. At the ambulatory stage there is no proper angiosurgical monitoring as well as adherence of patients to treatment.

Keywords: atherosclerosis, multistage lower limb lesion, hybrid surgeries, endovascular treatment
p. 67 – 73 of the original issue
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