Immediate results of repeated open and endovascular interventions in patients with chronic lower limb ischemia following occlusion of autovenous femoropoplietal bypass grafts

Chernyavsky M.A.; Chernov A.V.; Artemova A.S.; Komakha B.B.; Susanin N.V.

doi:https://doi.org/10.17116/kardio202215041430

Chernyavsky M.A.

Almazov National Medical Research Center

ORCID: 0000-0003-1214-0150

Chernov A.V.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Artemova A.S.

Almazov National Medical Research Center

ORCID: 0000-0003-4885-8156

Komakha B.B.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Susanin N.V.

Almazov National Medical Research Center

ORCID: 0000-0002-8374-1503

Immediate results of repeated open and endovascular interventions in patients with chronic lower limb ischemia following occlusion of autovenous femoropoplietal bypass grafts

Authors:

Chernyavsky M.A., Chernov A.V., Artemova A.S., Komakha B.B., Susanin N.V.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(4): 430‑435

DOI: 10.17116/kardio202215041430

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To cite this article:

Chernyavsky MA, Chernov AV, Artemova AS, Komakha BB, Susanin NV. Immediate results of repeated open and endovascular interventions in patients with chronic lower limb ischemia following occlusion of autovenous femoropoplietal bypass grafts. Russian Journal of Cardiology and Cardiovascular Surgery. 2022;15(4):430‑435. (In Russ.)
https://doi.org/10.17116/kardio202215041430

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

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

To compare the immediate results of various surgical strategies in patients with occlusion of autovenous femoropopliteal bypass grafts.

MATERIAL AND METHODS

The study included 116 patients (93 men and 23 women) who underwent repeated surgical interventions on femoropopliteal segment for critical lower limb ischemia following occlusion of autovenous femoropopliteal bypass grafts. Mean age of patients was 65.9±8.7 years. Mean period until graft occlusion was 38±9 months. Patients were randomized into 2 groups depending on repeated surgery: 59 patients underwent endovascular interventions (the first group), 57 patients underwent open surgical treatment (the second group).

RESULTS

Technical success was achieved in 57 (97%) patients of the first group and 54 (95%) patients of the second group. Bleeding and infectious complications of surgical site in early postoperative period were more common in the second group.

CONCLUSION

Repeated surgical interventions are characterized by favorable immediate results. However, complexity of repeated access and cicatricial process contribute to higher incidence of adverse events after open procedures. Consideration of risk factors of complications after open and endovascular surgery and their timely correction can improve the long-term results of reinterventions.

Keywords:

occlusion of autovenous femoropopliteal bypass grafts

repeated reconstruction of femoropopliteal segment

redo interventions

balloon angioplasty with stenting of autovenous femoropopliteal bypass grafts

Authors:

Chernyavsky M.A.

Almazov National Medical Research Center

ORCID: 0000-0003-1214-0150

Chernov A.V.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Artemova A.S.

Almazov National Medical Research Center

ORCID: 0000-0003-4885-8156

Komakha B.B.

Almazov National Medical Research Center;
City Alexandrovskaya Hospital

Susanin N.V.

Almazov National Medical Research Center

ORCID: 0000-0002-8374-1503

Received:

04.04.2021

Accepted:

21.04.2021

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