Surgical treatment of patients with acute lower limb ischemia

Sinyavin G.V.; Belov Yu.V.; Vinokurov I.A.; Mnatsakanyan G.V.; Odinokova S.N.; Yasnopolskaya N.V.

doi:https://doi.org/10.17116/kardio20211401160

Sinyavin G.V.

Sechenov First Moscow State Medical University

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Vinokurov I.A.

Petrovsky Russian Research Center of Surgery;
Sechenov First Moscow State Medical University

ORCID: 0000-0003-0433-2523

Mnatsakanyan G.V.

Sechenov First Moscow State Medical University

Odinokova S.N.

Sechenov First Moscow State Medical University

SPIN RSCI: 5416-5379
Scopus AuthorID: 57214320789
ORCID: 0000-0002-5403-8456

Yasnopolskaya N.V.

Yudin Moscow City Clinical Hospital

ORCID: 0000-0002-4388-7890

Surgical treatment of patients with acute lower limb ischemia

Authors:

Sinyavin G.V., Belov Yu.V., Vinokurov I.A., Mnatsakanyan G.V., Odinokova S.N., Yasnopolskaya N.V.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(1): 60‑65

DOI: 10.17116/kardio20211401160

Read: 803 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Sinyavin GV, Belov YuV, Vinokurov IA, Mnatsakanyan GV, Odinokova SN, Yasnopolskaya NV. Surgical treatment of patients with acute lower limb ischemia. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(1):60‑65. (In Russ.)
https://doi.org/10.17116/kardio20211401160

Подписка 2026 Кардиология и сердечно-сосудистая хирургия (Russian Journal of Cardiology and Cardiovascular Surgery)

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To assess postoperative outcomes in patients with acute lower limb ischemia stage IIa-IIc.

MATERIAL AND METHODS

A retrospective analysis included 141 patients with acute lower limb ischemia stage IIa-IIc for the period from 2016 to 2018. Mean age was 72.7±14.6 years. The outcomes were estimated depending on severity and level of ischemia.

RESULTS

The most common complications in these patients were renal dysfunction (n=69, 48.9%), cardiovascular failure (n=30, 21.3%), respiratory failure (n=28, 19.9%). Multiple organ failure was diagnosed in 9 (6.4%) patients. Secondary amputation of the lower limb was performed in 15 (10.6%) patients; postoperative mortality was 13.5% (n=19). Ischemia stage IIc was characterized by a large number of organ dysfunctions, mortality after surgery was comparable. Aorto-femoral occlusions were followed by 2 times higher mortality compared to distal occlusions.

CONCLUSION

Incidence of complications is increased in case of acute lower limb ischemia followed by severe limb edema (stage IIc). Mortality rate depends on the level of occlusion.

Keywords:

acute lower limb ischemia

segment of lesion

embolism

organ dysfunction

amputation

complications

mortality

Authors:

Sinyavin G.V.

Sechenov First Moscow State Medical University

Belov Yu.V.

Petrovsky National Research Center of Surgery;
Sechenov First Moscow State Medical University

SPIN RSCI: 2740-1439
Scopus AuthorID: 7101862336
ResearcherID: 7101862336
ORCID: 0000-0002-9280-8845

Vinokurov I.A.

Petrovsky Russian Research Center of Surgery;
Sechenov First Moscow State Medical University

ORCID: 0000-0003-0433-2523

Mnatsakanyan G.V.

Sechenov First Moscow State Medical University

Odinokova S.N.

Sechenov First Moscow State Medical University

SPIN RSCI: 5416-5379
Scopus AuthorID: 57214320789
ORCID: 0000-0002-5403-8456

Yasnopolskaya N.V.

Yudin Moscow City Clinical Hospital

ORCID: 0000-0002-4388-7890

Received:

12.06.2020

Accepted:

21.08.2020

Close metadata

References:

Tawes R, Harris E, Brown W. Arterial Thromboembolism. Archives of Surgery. 1985;120(5):595. https://doi.org/10.1001/archsurg.1985.01390290073012
Kuukasjärvi P, Salenius J. Perioperative outcome of acute lower limb ischaemia on the basis of the national vascular registry. European Journal of Vascular Surgery. 1994;8(5):578-583. https://doi.org/10.1016/s0950-821x(05)80594-8
Davies B, Braithwaite B, Birch P, Poskitt K, Heather B, Earnshaw J. Acute leg ischaemia in Gloucestershire. British Journal of Surgery. 1997;84(4):504-508. https://doi.org/10.1002/bjs.1800840419
Campbell W, Ridler B, Szymanska T. Current management of acute leg ischaemia: results of an audit by the Vascular Surgical Society of Great Britain and Ireland. British Journal of Surgery. 1998;85(11):1498-1503. https://doi.org/10.1046/j.1365-2168.1998.00906.x
Eliason JL, Wainess RM, Proctor MC, Dimick JB, Cowan JA Jr, Upchurch GR, Stanley JC, Henke PK. A National and Single Institutional Experience in the Contemporary Treatment of Acute Lower Extremity Ischemia. Annals of Surgery. 2003 Sept;238(3):382-390. https://doi.org/10.1097/01.sla.0000086663.49670.d1
Dag O, Kaygın M, Erkut B. Analysis of Risk Factors for Amputation in 822 Cases with Acute Arterial Emboli. The Scientific World Journal. 2012;1-5. https://doi.org/10.1100/2012/673483
Baril D, Patel V, Judelson D, Goodney P, McPhee J, Hevelone N, Cronenwett J, Schanzer A. Outcomes of lower extremity bypass performed for acute limb ischemia. Journal of Vascular Surgery. 2013;58(4):949-956. https://doi.org/10.1016/j.jvs.2013.04.036
Kempe K, Starr B, Stafford J, Islam A, Mooney A, Lagergren E, Corriere M, Edwards M. Results of surgical management of acute thromboembolic lower extremity ischemia. Journal of Vascular Surgery. 2014;60(3):702-707. https://doi.org/10.1016/j.jvs.2014.03.273
Lopez R, Yamashita T, Neisen M, Fleming M, Colglazier J, Oderich G, DeMartino R. Single-center experience with Indigo aspiration thrombectomy for acute lower limb ischemia. Journal of Vascular Surgery. 2020 July 01;72(1):226-232. Published: January 13, 2020. https://doi.org/10.1016/j.jvs.2019.10.079
Dyadkov IN, Vinokurov IA. Organ dysfunction after embolectomy from lower limb arteries. Moskovskij khirurgicheskij zhurnal [online]. 2018;3(61):111. (In Russ.).