[Proximal anastomosis in surgery for Leriche's syndrome]

The author analysed the frequency of different variants of atherosclerotic affection of the aortoiliac-femoral segment in 300 patients who underwent operation. With consideration for these data, the surgical tactics and techniques of proximal anastomosis in aortofemoral shunting (prosthetics) in 216 patients with variants of Leriche's syndrome are appraised. In most patients the operation may be carried out through an extraperitoneal approach. The choice of the type of proximal anastomosis in aortofemoral shunting (prosthetics) should be guided by the character of the affection, the condition of the branches of the abdominal aorta, and the necessity for revascularization of one or both extremities in one stage. The chosen tactics and techniques of the operation made it possible to preserve 86.1% of the vascularized extremities.