SIMULTANEOUS REVASCULARIZATION OF BOTH LIMBS BY MEANS OF TRANSPLANTATION OF THE GREATER OMENTUM ON A VASCULAR PEDICLE IN PATIENTS WITH THROMBOANGIITIS OBLITERANS

Vachev A.N., Mikhailov M.S., Novozhilov A.V. Chernovalov D.A.
Department of Vascular Surgery
Chair of Faculty Surgery Samara State Medical University,
Samara, Russia

Presented herein are favourable outcomes of surgical management in six patients suffering from thromboangiitis obliterans (TO) with accompanying critical ischaemia of either the both lower extremities (5 subjects) or the both upper limbs (1 patient). They were all treated by means of a surgical intervention with simultaneous transplantation of the greater omentum on a vascular pedicle onto the both limbs. A total of 12 revascularizing procedures were performed. With an overall of the 12 extremities eventually spared, the remote limb-salvage rate amounted to 100%. A detailed description of the procedural technique is followed by analysing long-term therapeutic outcomes having proved encouraging. The obtained results confirmed a possibility of reliably relieving critical ischaemia inpatients with TO by means of transplanting the greater omentum on a vascular pedicle simultaneously onto the both limbs.

KEY WORDS: thromboangiitis obliterans (TO), limb critical ischaemia, simultaneous transplantation of the greater omentum onto both extremities.

P. 139-142

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