[Using femoral autovein in reconstruction of the aortoiliac segment in patients with high risk of infectious complications].

AIM

To analyse the results of using a femoral vein for reconstruction of the aortoiliac segment.

MATERIAL AND METHODS

We performed a total of 10 reconstructions of the aortoiliac segment using a femoral autovien. The patients' average age amounted to 58,8±4,5 years.

RESULTS

The patients were subdivided into 2 groups, with Group 1 consisting of 5 patients operated on for complication of aortoiliac reconstruction using an artificial graft. The grafts were retrieved followed by repeat prosthetic repair with the femoral vein. All cases showed satisfactory revascularization of the limb. Venous outflow impairments after removal of the femoral vein were inconsiderable. One patient died. Group 2 comprised 5 patients initially operated on for critical ischaemia of the lower limbs with purulent necrotic lesions. Revascularization with a femoral vein was performed in all cases resulting in re-establishment of blood circulation. The procurement of the vein was followed by pronounced impairments of the lymphatic and venous outflow.

CONCLUSION

Primary autovenous reconstruction of the aortoiliac segment in patients with purulent necrotic impairments is less risky from the point of view of late complications than implantation of an artificial graft and is more advantageous from the point of view of quality of life than primary high amputation.