Xenopericardial femoral artery surgery in hybrid treatment of critical ischemia of the lower extremities

Sukovatykh B.S.; Nazarenko P.M.; Bolomatov N.V.; Sukovatykh M.B.; Gordov M.Yu.; Grigoryan A.Yu.

doi:https://doi.org/10.17116/hirurgia202509112

Sukovatykh B.S.

Kursk State Medical University

SPIN RSCI: 8778-1530
Scopus AuthorID: 7004581366
ORCID: 0000-0003-2197-8756

Nazarenko P.M.

Kursk State Medical University

ORCID: 0000-0003-1376-3130

Bolomatov N.V.

Kursk City Clinical Hospital of Emergency Medical Care;
Pirogov National Medical Surgical Center

ORCID: 0000-0003-0590-2225

Sukovatykh M.B.

Kursk State Medical University

ORCID: 0000-0003-1907-4395

Gordov M.Yu.

Kursk City Clinical Hospital of Emergency Medical Care

ORCID: 0000-0001-9618-1923

Grigoryan A.Yu.

Kursk State Medical University

ORCID: 0000-0002-5039-5384

Xenopericardial femoral artery surgery in hybrid treatment of critical ischemia of the lower extremities

Authors:

Sukovatykh B.S., Nazarenko P.M., Bolomatov N.V., Sukovatykh M.B., Gordov M.Yu., Grigoryan A.Yu.

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Journal: Pirogov Russian Journal of Surgery. 2025;(9): 12‑18

DOI: 10.17116/hirurgia202509112

Read: 357 times

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To cite this article:

Sukovatykh BS, Nazarenko PM, Bolomatov NV, Sukovatykh MB, Gordov MYu, Grigoryan AYu. Xenopericardial femoral artery surgery in hybrid treatment of critical ischemia of the lower extremities. Pirogov Russian Journal of Surgery. 2025;(9):12‑18. (In Russ.)
https://doi.org/10.17116/hirurgia202509112

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

OBJECTIVE

To compare 6- and 12-month results of femoral artery repair with xenopericardial and autologous venous patch in hybrid treatment of critical lower limb ischemia.

MATERIAL AND METHODS

A retrospective analysis included 60 patients with critical lower limb ischemia who underwent hybrid treatment (balloon angioplasty and stenting of iliac arteries and open reconstruction of femoral arteries). Patients were divided into 2 groups by 30 people depending on femoral artery repair (group 1 — autologous venous patch, group 2 — xenopericardial patch). Postoperative complications, symptoms of critical ischemia, ankle-brachial index and pain-free walking distance were assessed after 6 and 12 postoperative months.

RESULTS

Postoperative complications occurred in 3 (5%) patients. In 1 case (pulsating hematoma), they were associated with endovascular intervention, in 2 cases (bleeding and lymphorrhea) — with surgical intervention. After 6 months, resting pain and trophic disorders disappeared. Moreover, pain-free walking distance increased in both groups. The ankle-brachial index increased by 1.8 and 1.9 times compared to preoperative data in each group, respectively. After 12 months, femoral artery restenosis occurred in 2 patients of the 1^st group.

CONCLUSION

After 6 months, there were no significant between-group differences. After 12 months, xenopericardial patch was superior to autologous venous patch.

Keywords:

critical ischemia

lower extremities

hybrid treatment

iliac artery stenting

femoral artery reconstruction

xenopericardial repair

Authors:

Sukovatykh B.S.

Kursk State Medical University

SPIN RSCI: 8778-1530
Scopus AuthorID: 7004581366
ORCID: 0000-0003-2197-8756

Nazarenko P.M.

Kursk State Medical University

ORCID: 0000-0003-1376-3130

Bolomatov N.V.

Kursk City Clinical Hospital of Emergency Medical Care;
Pirogov National Medical Surgical Center

ORCID: 0000-0003-0590-2225

Sukovatykh M.B.

Kursk State Medical University

ORCID: 0000-0003-1907-4395

Gordov M.Yu.

Kursk City Clinical Hospital of Emergency Medical Care

ORCID: 0000-0001-9618-1923

Grigoryan A.Yu.

Kursk State Medical University

ORCID: 0000-0002-5039-5384

Received:

13.10.2024

Accepted:

25.02.2025

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References:

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