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Related Experiment Video

Updated: Nov 15, 2025

Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
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[ISOLATED PROFUNDOPLASTY (DIFFERENTIAL CHOICE)].

V Rusyn1, V Rusyn1, F Horlenco1

  • 1Higher State Educational Establishment of Ukraine "Uzhhorod National University", Uzhhorod, Ukraine.

Georgian Medical News
|March 4, 2021
PubMed
Summary
This summary is machine-generated.

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[TRANSFASCIAL THROMBOSIS IN THE GREAT SAPHENOUS VEIN BASIN].

Georgian medical news·2021
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[BIOLOGICAL HERMETICITY, MECHANICAL STRENGTH AND MORPHOLOGICAL CHARACTERISTICS OF ONE-ROW AND TWO-ROW COLON ANASTOMOSES].

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[EFFICIENCY OF RADIOLOGICAL METHODS FOR DIAGNOSING THE ARTERIES OF THE FEMORO-POPKLITE-TIBAL SEGMENT].

Georgian medical news·2020
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FEATURES OF FORMATION OF COLLATERAL CIRCULATION IN PATIENTS WITH SUBCLAVIAN STEAL SYNDROME.

Georgian medical news·2018

Optimizing deep femoral artery (DFA) surgery improves outcomes for chronic lower extremity ischemia. Techniques vary by stenosis length, favoring endarterectomy for short lesions and bypass/prosthetics for extended ones.

Area of Science:

  • Vascular Surgery
  • Cardiovascular Diseases
  • Arterial Reconstruction

Background:

  • Chronic ischemia of lower extremities significantly impacts patient quality of life.
  • Obliterating atherosclerosis of the femoropopliteal-tibial segment is a common cause.
  • Optimizing surgical techniques for the deep femoral artery (DFA) is crucial for treatment success.

Purpose of the Study:

  • To enhance treatment outcomes for patients with chronic lower extremity ischemia.
  • To optimize surgical techniques for deep femoral artery (DFA) reconstruction.

Main Methods:

  • Retrospective analysis of 150 patients undergoing surgery for femoropopliteal-tibial atherosclerosis (2014-2019).
  • Surgical techniques included open endarterectomy with autovenous/autoarterial patches, bypass, and prosthetics of the DFA.

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  • Decision-making influenced by stenosis length, plaque density, and involvement of branching arteries.

    • Main Results:

    • Short stenoses (<4 cm) treated with open endarterectomy (EAE) with autovenous/autoarterial patch or aloinsertion.
    • Extended stenoses (4-10 cm) with soft/medium plaque: open EAE with autovenous patch.
    • Long lesions (>10 cm): femoral-deep femoral shunting or prosthetics; reimplantation of branches if diameter ≥2 mm and retrograde flow preserved.

    Conclusions:

    • Tailoring DFA reconstruction techniques based on stenosis characteristics improves surgical outcomes.
    • Open endarterectomy is suitable for shorter stenoses, while bypass or prosthetics are preferred for longer lesions.
    • Consideration of branching artery status is vital for successful arterial reconstruction.