[Plastic surgery of the deep femoral artery in the treatment of severe ischemia of the limbs].

The article analyses the results of operative treatment of 21 patients with atherosclerotic stenosis of the deep femoral artery (DFA) and occlusions of the femoral, popliteal, and tibial arteries with IIB-IV degree ischemia. The age of the patients ranged from 50 to 80 (average age of 69 years). All patients suffered from serious concomitant somatic diseases which increased the risk of major reconstructive operations in the aorto-iliac and femoro-popliteal regions. Isolated DFA plastics was conducted in 17 patients; in 4 patients DFA plastics was carried out to supplement aorto-iliac-deep femoral shunting. The late-term results were studied in periods of one to three years. They were positive in 90.5% of cases. Amputation through the thigh was carried out in one patient 12 months after the operation due to a progressive occlusive process. One patients died one year after the operation from myocardial infarction.