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10. [Roentgeno-surgical treatment of vascular occlusive diseases of the lower extremities].

Author

Pochechuev AM, Kamenichnyĭ DI, Kasatkin EK, and Bondarev VV

Subjects
Adult, Aged, Aorta, Abdominal, Aortic Diseases complications, Aortic Diseases diagnostic imaging, Arteriosclerosis Obliterans complications, Arteriosclerosis Obliterans diagnostic imaging, Endarteritis complications, Endarteritis diagnostic imaging, Femoral Artery, Humans, Iliac Artery, Ischemia diagnostic imaging, Ischemia etiology, Middle Aged, Radiography, Aortic Diseases therapy, Arteriosclerosis Obliterans therapy, Catheterization, Endarteritis therapy, Ischemia therapy, Leg blood supply
Abstract

The methods of direct revascularization of the lower extremities in occlusive-stenotic lesion at the stage of severe ischemia were used in 144 patients. Of them in 35, simultaneously or with a several day interval, the ++roentgeno-endovascular dilatation (RED) in the several segments of the arterial bed was carried out, in 36--RED was performed in combination with 2-3 procedures of plasmapheresis, in 16 patients in occlusion to a large extent, the isolated balloon profundoplasty was performed, in 46 patients with total lesion of the vessels--isolated RED of the aorto-iliac segment. This contributed to increase in the effectiveness of the collateral blood flow in the vessels of the lower extremities. A high effectiveness of the methods employed was noted in follow-up of from 1 to 5 years. The indications for the use of RED and causes of failures are presented.

Published
1991

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