Using femoral autovein in reconstruction of the aortoiliac segment in patients with high risk of infectious complications

Lyzikov A.A., Pechenkin A.A.

Course of Cardiovascular Surgery of the Chair of Surgical Disease № 3, Comel State Medical University, Gomel, Russia

Objective: To analyse the results of using a femoral vein for reconstruction of the aortoiliac segment.

Patients and method: We performed a total of 10 reconstructions of the aortoiliac segment using a femoral autovien. The patients’ average age amounted to 58,8±4,5 years.

Results: The patients were subdivided into 2 groups, with Group 1 consisting of 5 patients operated on for complication of aortoiliac reconstruction using an artificial graft. The grafts were retrieved followed by repeat prosthetic repair with the femoral vein. All cases showed satisfactory revascularization of the limb. Venous outflow impairments after removal of the femoral vein were inconsiderable. One patient died.

Group 2 comprised 5 patients initially operated on for critical ischaemia of the lower limbs with purulent necrotic lesions. Revascularization with a femoral vein was performed in all cases resulting in re-establishment of blood circulation. The procurement of the vein was followed by pronounced impairments of the limphatic and venous outflow.

Conclusion: Primery autovenous reconstruction of the aortoiliac segment in patients with purulent necrotic impairments is less risky from the point of view of late complications than implantation of an artificial graft and is more advantageous from the point of view of quality of life than primery high amputation.

KEY WORDS: femoral vein, reconstruction of the aortoiliac segment.

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