Karimov Sh I, Ganiev A M, Krotov N F, Ismaĭlova D A, Osipov N G
Khirurgiia (Mosk). 1990 Nov(11):37-40.
The authors analyse experience in the treatment of 96 patients at an increased risk of intervention. Ischemia of the lower extremities with relatively maintained peripheral vascular bed was the main criterion of an indicated operation. The malleolar systolic pressure index of at least 0.35 +/- 0.15 was considered essential in this case. With consideration for the risk, the interventions were carried out mainly under peridural anesthesia. Intraoperative dilatation of the iliac arteries was conducted under radiotelecontrol in combination with profundoplasty, thrombendarterectomy from the femoral arteries, and femoropopliteal autovenoplasty. The efficacy of the operations was appraised by intraoperative angiography, electromanometry, and blood flow measurement. The results were studied in follow-up periods of up to 3 years. In the group of 96 patients 8 had poor results. Amputation of the extremity was performed in different periods.
作者分析了96例有较高干预风险患者的治疗经验。下肢缺血且外周血管床相对保持良好是进行手术的主要标准。在这种情况下，踝部收缩压指数至少为0.35±0.15被认为是必要的。考虑到风险因素，手术主要在硬膜外麻醉下进行。术中在无线电遥控下对髂动脉进行扩张，并结合深部血管成形术、股动脉血栓内膜切除术和股腘动脉自体静脉成形术。通过术中血管造影、电子测压和血流测量来评估手术效果。在长达3年的随访期内对结果进行研究。在96例患者中，8例效果不佳。在不同时期进行了截肢手术。
