Semi-closed endarterectomy from the superficial femoral artery

Abramov I.S., Maitesyan D.A., Lazaryan T.A.

City Clinical Hospital №15 named after O.M. Filatov, Chair of Hospital Surgery No1 of the Therapeutic Faculty of the Russian National Research Medical University named after N.I. Pirogov, Moscow, Russia

Presented herein is a review of literature dedicated to the results of extended semi-closed endarterectomy from arteries of the femoropopliteal segment in patients with chronic ischaemia of the lower limbs. The authors consider historical aspects of the development of the operation of semi-closed loop endarterectomy, demonstrating present-day approaches to revascularization in lesions of the arteries of the femoropopliteal zone. Also discussed are indications and contraindications to carrying out the operation, as well as the data concerning both immediate and remote results of semi-closed endarterectomy. It is shown that the outcomes of this operation are not inferior to those of femoropopliteal bypass. Particular attention is paid to advantages of endarterectomy, which are as follows: a minimally traumatic nature, a possibility to be performed in patients presenting with severe concomitant pathology, and no need to use synthetic materials.

KEY WORDS: chronic lower limb ischemia, femoral artery occlusion, semi-closed endarterectomy.

P. 169

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