First experience of autovenous femoropoplietal bypass surgery in situ using original method of ligation of venous tributaries

Krepkogorskiy N.V.; Ignatiev I.M.; Bredikhin R.A.; Dzhordzhikia R.K.; Illarionova I.N.

doi:https://doi.org/10.17116/kardio202114051386

Krepkogorskiy N.V.

Interregional Clinical Diagnostic Center;
Kazan State Medical University

Ignatiev I.M.

Kazan state medical university

Bredikhin R.A.

Interregional Clinical Diagnostic Center;
Kazan State Medical University

ORCID: 0000-0001-5550-1548

Dzhordzhikia R.K.

Interregional Clinical Diagnostic Center;
Kazan State Medical University

Illarionova I.N.

Center for Vascular Treatment «VenArt»

First experience of autovenous femoropoplietal bypass surgery in situ using original method of ligation of venous tributaries

Authors:

Krepkogorskiy N.V., Ignatiev I.M., Bredikhin R.A., Dzhordzhikia R.K., Illarionova I.N.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(5): 386‑391

DOI: 10.17116/kardio202114051386

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To cite this article:

Krepkogorskiy NV, Ignatiev IM, Bredikhin RA, Dzhordzhikia RK, Illarionova IN. First experience of autovenous femoropoplietal bypass surgery in situ using original method of ligation of venous tributaries. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(5):386‑391. (In Russ.)
https://doi.org/10.17116/kardio202114051386

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

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OBJECTIVE

To analyze an effectiveness of original method for ligation of tributaries of great saphenous vein during femoropopliteal and femorotibial bypass surgery in situ.

MATERIAL AND METHODS

There were 28 patients who underwent femoropopliteal or femorotibial bypass surgery in situ for the period 2014—2015. All patients were divided into 2 groups: group I consisted of 15 patients (femoropopliteal or femorotibial bypass surgery in situ with original method of ligation of venous tributaries), group II comprised 13 patients (standard autovenous femoropopliteal or femorotibial bypass surgery). Inclusion criterion was severe lesion of femoropopliteal vascular segment according to TASC II classification (2007).

RESULTS

An original method of ligation of autovenous tributaries was applied during femoropopliteal and femorotibial bypass surgery in situ for the first time in clinical practice. Femoropopliteal and femorotibial bypass surgery in situ was followed by 86.7% freedom from limb amputation within 2 years. Our technique completely excluded abnormal arteriovenous bypass in a shunt that also contributed to stable function of the graft in situ. At discharge, we observed satisfactory pulsatile blood flow, healing of postoperative wounds via primary intention and epithelization of trophic defects.

CONCLUSION

An original method contributed to more effective healing of trophic defects and higher freedom from amputations in long-term period. It was established that intraoperative control of autologous vein is valuable to avoid redo surgery for thrombosis associated with arteriovenous fistulas and large tributaries.

Keywords:

femoropopliteal bypass

autovein

trophic ulcer

critical limb ischemia

chronic arterial insufficiency

Authors:

Krepkogorskiy N.V.

Interregional Clinical Diagnostic Center;
Kazan State Medical University

Ignatiev I.M.

Kazan state medical university

Bredikhin R.A.

Interregional Clinical Diagnostic Center;
Kazan State Medical University

ORCID: 0000-0001-5550-1548

Dzhordzhikia R.K.

Interregional Clinical Diagnostic Center;
Kazan State Medical University

Illarionova I.N.

Center for Vascular Treatment «VenArt»

Received:

16.08.2020

Accepted:

20.12.2020

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References:

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