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Puzdriak P.D.
Saint-Petersburg «City Multiservice hospital №2», Saint-Petersburg, Russia
Shlomin V.V.
Saint-Petersburg «City Multiservice hospital №2», Saint-Petersburg, Russia
Bondarenko P.B.
Saint-Petersburg «City Multiservice hospital №2», Saint-Petersburg, Russia
Ivanov M.A.
Kafedra obshcheĭ khirurgii Sankt-Peterburgskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. I.I. Mechnikova
Yurtaev E.A.
Saint-Petersburg «City Multiservice hospital №2», Saint-Petersburg, Russia
Didenko Yu.P.
Saint-Petersburg City Multi-field Hospital №2, St. Petersburg, Russia
Grebenkina N.Yu.
Saint-Petersburg City Multi-field Hospital №2, St. Petersburg, Russia
Kasyanov I.V.
Saint-Petersburg City Multi-field Hospital №2, St. Petersburg, Russia
Gusinskiy A.V.
Almazov National Medical Research Centre, St. Petersburg, Russia
Rakhmatillaev T.B.
Almazov National Medical Research Centre, St. Petersburg, Russia
Samko K.V.
Mechnikov North-Western State Medical University of Ministry of Health of Russia, St. Petersburg, Russia
Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2019;12(3): 227–234
Comparison of the results of hybrid and open surgical treatment of multilevel arterial disease of lower extremities (in Russian only)
Authors:
Puzdriak P.D., Shlomin V.V., Bondarenko P.B., Ivanov M.A., Yurtaev E.A., Didenko Yu.P., Grebenkina N.Yu., Kasyanov I.V., Gusinskiy A.V., Rakhmatillaev T.B., Samko K.V.
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Puzdriak PD, Shlomin VV, Bondarenko PB, Ivanov MA, Yurtaev EA, Didenko YuP, Grebenkina NYu, Kasyanov IV, Gusinskiy AV, Rakhmatillaev TB, Samko KV. Comparison of the results of hybrid and open surgical treatment of multilevel arterial disease of lower extremities (in Russian only). Russian Journal of Cardiology and Cardiovascular Surgery.
2019;12(3):227‑234.
(In Russ., In Engl.).
https://doi.org/10.17116/kardio201912031227
Aim — to analyze the results of hybrid and open arterial reconstructions in patients with multilevel peripheral atherosclerosis. Material and methods. There were 147 patients with multilevel peripheral arterial disease who underwent vascular reconstructions in 2013—2018. The first (hybrid) group consisted of 72 patients after hybrid surgery, the second (open) group — 75 patients undergoing open surgical interventions. Mean age of patients was 65.8±7.9 years. In the 1st group chronic arterial insufficiency Fontaine—Pokrovsky stage IIB was diagnosed in 35 patients and critical ischemia in 37 ones. In the 2nd group these values were 29 and 46, respectively. Results. Mean time of hybrid and open operations was 219.2±85.1 and 207.8±75.1 min, respectively (p>0.05); intraoperative blood loss 218.9±134.6 and 390±216.9 ml, respectively (p<0.01). 30-day mortality was absent in both groups. 36-month primary patency was noted in 89.4 and 82.7% in both groups, respectively (p=0.29). Primary patency of infrainguinal segment was significantly higher in the first group: 80.2% after 12 months, 71.6% after 36 months. In the second group these values were 72.8 and 49.5%, respectively (p= 0.019). Limb salvage rate within 36 months was 90.1% in hybrid group and 78.4% in open group. Conclusion. Hybrid procedure including endarterectomy and subsequent endovascular repair is equally effective as open reconstruction in the treatment of multilevel peripheral arterial disease. This approach is followed by reduced intraoperative blood loss and time of surgery.
Keywords:
Authors:
Puzdriak P.D.
Saint-Petersburg «City Multiservice hospital №2», Saint-Petersburg, Russia
Shlomin V.V.
Saint-Petersburg «City Multiservice hospital №2», Saint-Petersburg, Russia
Bondarenko P.B.
Saint-Petersburg «City Multiservice hospital №2», Saint-Petersburg, Russia
Ivanov M.A.
Kafedra obshcheĭ khirurgii Sankt-Peterburgskoĭ gosudarstvennoĭ meditsinskoĭ akademii im. I.I. Mechnikova
Yurtaev E.A.
Saint-Petersburg «City Multiservice hospital №2», Saint-Petersburg, Russia
Didenko Yu.P.
Saint-Petersburg City Multi-field Hospital №2, St. Petersburg, Russia
Grebenkina N.Yu.
Saint-Petersburg City Multi-field Hospital №2, St. Petersburg, Russia
Kasyanov I.V.
Saint-Petersburg City Multi-field Hospital №2, St. Petersburg, Russia
Gusinskiy A.V.
Almazov National Medical Research Centre, St. Petersburg, Russia
Rakhmatillaev T.B.
Almazov National Medical Research Centre, St. Petersburg, Russia
Samko K.V.
Mechnikov North-Western State Medical University of Ministry of Health of Russia, St. Petersburg, Russia
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