Management of thrombotic occlusions of femoropopliteal bypass grafts treated by a combined method

Krotovskii G.S.¹, Tarkovskii A.A.^1,2, Uchkin I.G.^1,2, Shutushev Z.Kh.^3,4, Khmyrova A.V.⁴

1) Department of Vascular Surgery of the Scientific Research Centre, I.M. Sechenov Moscow Medical Academy, Moscow, Russia
2) Department of Vascular Surgery No 2, N.A. Semashko Central Clinical Hospital No 2, Open Joint-Stock Company "Russian Railways"
3) Department of Roentgenosurgical Methods of Diagnosis and Treatment, N.A. Semashko Central Clinical Hospital No 2, Open Joint-Stock Company "Russian Railways"
4) Chair of Hospital Surgery, Medical Department, Russian University of Friendship of Peoples, Moscow, Russia

Presented in the article are two clinical case reports concerning remote results of successful surgical management of thrombotic occlusions of femoropopliteal bypass grafts treated by a combined method. The first stage of surgical treatment in both cases in the roentgen-equipped operation room consisted in open thrombectomy of the shunt, with the second stage being endovascular recanalization – in the first case balloon angioplasty of the proximal and distal anastomosis and in the second case – balloon angioplasty and stenting of the distal anastomosis, distal arterial bed.

KEY WORDS: femoropopliteal bypass grafting, intermittent claudication, stenosis, thrombectomy, endovascular recanalization.

P. 141

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