Profundoplasty in surgical treatment of patients with critical lower limb ischemia (in Russian only)

A.V. Gavrilenko

B.V. Petrovsky Russian Scientific Center of Surgery, Moscow, Russia;
Federal State Autonomous Educational Institution of Higher Education «I.M. Sechenov First Moscow State Medical University» of the Ministry of Health of the Russia, Moscow, Russia

A.E. Kotov

Petrovsky Russian Research Center for Surgery, Moscow, Russia

M.K. Lepshokov

Petrovsky Russian Research Center for Surgery, Moscow, Russia

Profundoplasty in surgical treatment of patients with critical lower limb ischemia (in Russian only)

Authors:

A.V. Gavrilenko, A.E. Kotov, M.K. Lepshokov

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(4): 296‑301

DOI: 10.17116/kardio201912041296

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To cite this article:

Gavrilenko AV, Kotov AE, Lepshokov MK. Profundoplasty in surgical treatment of patients with critical lower limb ischemia (in Russian only). Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(4):296‑301. (In Russ., In Engl.)
https://doi.org/10.17116/kardio201912041296

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

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Abstract Objective — to determine the optimal material and length of the patch for profundoplasty in patients with critical lower limb ischemia. Material and methods. There were 76 patients who underwent surgery for critical lower limb ischemia. The examination was conducted in accordance with the TASC II guidelines: Doppler ultrasound with registration of ankle arterial pressure and ankle-brachial index, contrast CT-angiography. Results. ABI after 5 years was higher in patients with extended profundoplasty (0.8) compared with conventional profundoplasty (0.66; p<0.05). Patency of reconstruction area after 5 years was higher after profundoplasty from autologous material (79.4%) compared with synthetic materials (65.4; p<0.05). Five-year freedom from amputation was higher after profundoplasty from autologous material (82.4%) compared with synthetic materials (67.5; p<0.05). Conclusion. Extended profundoplasty from autologous material is preferred in patients with critical lower limb ischemia and compromised distal vessels.

Keywords:

critical lower limb ischemia

deep femoral artery

profundoplasty

Authors:

A.V. Gavrilenko

A.E. Kotov

Petrovsky Russian Research Center for Surgery, Moscow, Russia

M.K. Lepshokov

Petrovsky Russian Research Center for Surgery, Moscow, Russia

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