Endovascular Angioplasty for Multi-Level Stenotic-Occlusive Lesions of the Femoral-Distal Arterial Bed in Cases of Stenotic-Occlusive Process of the Tibial Arteries

Venher, I. K.; Kostiv, S. Ya.; Selskyy, B. P.; Khvalyboha, D. V.; Orlov, M. P.; Faryna, I. V.; Tsiupryk, N. I.

doi:10.11603/ijmmr.2413-6077.2022.1.13157

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…The makeshift stent is delivered from an accessible distant vessel, e.g., the femoral artery. As a result of the invention of this method, with the passage of time the results improved significantly due to the use of other types of stents, not makeshift ones, for the creation of which various commercial designs were developed, as well as updating the methods of delivering the artificial vessel to the required location [16]. After the development of this technique, most centres specializing in vascular surgery began to use EVAR for the treatment of AAA.…”

Section: науковий огляд / Scientific Reviewmentioning

confidence: 99%

Emergency treatment of ruptured abdominal aneurysm

Nuellari,

Prifti,

Halili

2023

ЕМ

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Background. Abdominal aneurysm is considered a formidable pathological condition that requires prompt treatment. Despite the improvement of medical equipment and postoperative care, mortality due to ruptured abdominal aneurysm is still close to 50 %. The purpose of this review was to investigate and evaluate currently available techniques for treating ruptured abdominal aneurysm to find best methods. Materials and methods. Using keywords and inclusion/exclusion criteria, a search, analysis, and systematization of information sources from foreign databases for the last 5–10 years was carried out. Results. It was found that endovascular aortic aneurysm correction is the optimal method for both planned and emergency treatment of aortic aneurysm and its rupture. According to the Cochrane Specialized Register, it was found that endovascular repair is associated with a reduction in early morbidity and mortality after abdominal aneurysm, compared with other methods of surgical treatment. Conclusions. The study revealed that unlike open methods of surgery, endovascular techniques are associated with a lower risk of complications in the form of intestinal ischaemia. However, there is currently no sufficient evidence base to confirm a lower risk of complications from other organ systems. Similarly, to date, no difference in mortality rates has been found one month after surgery comparing endovascular and open surgical methods, which requires further research. Data from this review can be used for further, broader analyses of the literature, as well as for the design of original clinical trials.

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Section: науковий огляд / Scientific Reviewmentioning

confidence: 99%

Emergency treatment of ruptured abdominal aneurysm

Nuellari,

Prifti,

Halili

2023

ЕМ

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“…Atherosclerotic lesions of the arterial bed of the lower extremities rank close behind coronary heart disease, being second in the structure of cardiovascular diseases [1]. At the same time, stenotic-occlusive lesions of the infrainguinal arterial bed in 35-64.7 % of cases lead to the development of ischemia, which threatens the amputation of the lower limbs [2,3]. Treatment of patients with multilevel atherosclerotic lesions of the arterial bed of the lower extremities remains a rather complex and, in many cases, an unsolved problem [4,5].…”

Section: Introductionmentioning

confidence: 99%

Rheological Thrombus Extraction in Postoperative Thrombosis of the Popliteal-Tibial Segment After Endovascular Methods of Revascularization

Venher,

Kostiv,

Didenko

et al. 2024

Clin. and prev. med.

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Introduction. The use of endovascular methods of revascularization of the atherosclerotic stenotic-occlusive process of the femoral-distal arterial bed leads in 1/4 of the primary surgical interventions to the need for repeated surgical intervention, in 6-32% of cases it is complicated by the development of thrombosis of the reconstruction segment, restenosis of the surgical intervention segment [6, 7]. Aim. The main goal of the study was to improve the results of endovascular methods of revascularization of multi-level stenotic-occlusive femoral-distal arterial bed by performing rheological thrombus extraction with the Angiojet system in postoperative thrombosis of the popliteal-tibial segment. Materials and methods. 164 patients with multilevel stenotic-occlusive atherosclerotic lesions of the femoral-distal arterial bed were under observation. Thrombosis of the popliteal segment was diagnosed in 17 (73.9%) cases in patients with endovascular angioplasty of one of the tibial arteries, in 6 (26.1%) cases with endovascular angioplasty of two arteries of the tibial segment. Surgical treatment of thrombosis of the popliteal segment was performed by the method of minimally invasive rheological thrombus extraction using the Angiojet device (Possies, USA). Results. A patient with a multilevel stenotic-occlusive process of the femoral-distal arterial bed at clinical stage 3 (according to WIFI classification) had a two-level endovascular angioplasty of the infrainguinal arterial channel. Rheological thrombus extraction from the popliteal-tibial segment using the Angiojet system was used in 14 (60.9%) patients who underwent two-level endovascular angioplasty of the femoral-distal arterial bed. Rheological thrombus extraction from the popliteal-tibial segment with the Angiojet system was used in 9 (34.8%) patients who underwent revascularization of the infrainguinal arterial bed by the hybrid revascularization method. Conclusions. 1. Endovascular methods of revascularization of multilevel stenotic-occlusive femoral-distal arterial bed are complicated in 14.0% of observations by the development of postoperative thrombosis of the popliteal-tibial segment. The effectiveness of the application of rheological thrombus extraction by the Angiojet system of postoperative thrombosis from the popliteal-tibial segment after endovascular methods of revascularization of multilevel stenotic-occlusive femoral-distal arterial bed is at the level of 82.6%.

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Endovascular Angioplasty for Multi-Level Stenotic-Occlusive Lesions of the Femoral-Distal Arterial Bed in Cases of Stenotic-Occlusive Process of the Tibial Arteries

Cited by 2 publications

References 10 publications

Emergency treatment of ruptured abdominal aneurysm

Emergency treatment of ruptured abdominal aneurysm

Rheological Thrombus Extraction in Postoperative Thrombosis of the Popliteal-Tibial Segment After Endovascular Methods of Revascularization

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