[Simultaneous multi-storey bypasses in a poly-segmental lesion of lower-limb arteries in patients with critical...

The article deals with therapeutic outcomes obtained in treating patients diagnosed with chronic critical ischaemia of the lower extremities, who were subjected to multi-storey shunting with the restoration of the major blood flow in the distal vascular bed and with the inclusion of the collateral bloodstream into the unaltered portions of the arterial segments. Also established was a distal anastomosis with the formation of an arteriovenous fistula. In the operated on patients, the manifestations of critical ischaemia of the lower limbs were coped with intraoperatively, and the check-up Dopplerograms taken during the follow-up period showed the presence of the major blood flow along the bypasses and more distally along the anterior tibial artery.