Journal «Angiology and Vascular Surgery» •
2018 • VOLUME 24 • №2
In-hospital outcomes of reconstructive interventions on the aortofemoral segment in patients with multifocal atherosclerosis
Burkov N.N., Kazantsev A.N., Tarasov R.S.
Scientific Research Institute of Complex Problems of Cardiovascular Diseases, Kemerovo, Russia
The purpose of the study was to analyse the in-hospital results of surgical treatment in a total of 275 patients presenting with atherosclerotic occlusive and stenotic lesions of the aortofemoral segment within the framework of a single-centre prospective register. The authors performed a detailed analysis of prognostic significance of a wide spectrum of clinico-instrumental, anatomo-angiographic and perioperative factors, followed by revealing the causes of an unfavourable prognosis during the in-hospital period. Based on the obtained findings, they determined significant risk factors for an unfavourable outcome: clinicodemographic (chronic renal insufficiency, grade IV chronic lower limb ischaemia) and surgical (cross-clamping of the aorta for more than 30 min). A high frequency rate of preventive coronary revascularization appeared to have become a protective mechanism making it possible to prevent the development of myocardial infarction in the studied cohort of patients.
KEY WORDS: multifocal atherosclerosis, Leriche syndrome, aneurysm of the infrarenal portion of the aorta, surgical reconstruction of the aortofemoral segment.
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