DIAGNOSIS AND SURGICAL METHODS OF MANAGING PATIENTS WITH CHRONIC ABDOMINAL ISCHAEMIA

Kokhan E.P., Belyakin S.A., Ivanov V.A., Obraztsov A.V., Mironenko D.A.
Federal State Facility «3rd Central Military Clinical Hospital named after A.A. Vishnevsky of the Ministry of Defence of the Russian Federation», Centre for Roentgenosurgical Methods of Diagnosis and Treatment,
Krasnogorsk, Russia

Presented herein are the findings of examination of sixty-two patients with clinical manifestations of chronic abdominal ischaemia predominantly induced by stenosis of the celiac trunk. The authors carried out a comparative analysis of efficacy of instrumental methods of diagnosis of chronic abdominal ischaemia syndrome, having also investigated the lesions of the visceral branches by the findings of angiography. Also presented herein are the outcomes of various methods of surgical correction: 47 reconstructive and conditionally reconstructive operations, 10 transcutaneous endovascular angioplasties, also considering complications of the immediate postoperative period as well as short- and long-term outcomes of surgical treatment.

KEY WORDS: chronic abdominal ischaemia syndrome, celiac trunk, superior mesenteric artery.

P. 135-138

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