[Selection of the method of reconstructive surgery in aorto-femoral occlusion]

Three types of atherosclerotic lesions of the aorto-femoral segment were revealed on the basis of clinical and angiographic findings in 258 patients treated by reconstructive operations. It is noted that standard aorto-femoral reconstructions are indicated in patients with a low operative risk and various types of lesions; patients with a high operative risk and extended (type II) and concurrent (type III) stenoses and occlusions should be treated by operations which cause less injury--crossed femoral-femoral shunting, axillary-femoral shunting, and intraoperative balloon dilatation in combination with reconstructive operations.