[Repeated revascularization of the extremities in functional disorders of aortofemoral explants]

The article analyzes results of 95 operations in 71 patients with disturbed functions of the prosthesis implanted into the aorto-femoral segment. In thrombosis of the implanted prosthesis the authors prefer to fulfil thrombectomy with plasty of the distal anastomosis and the collateral with autotissues (a fragment of the vein or the non-functioning superficial femoral artery). Failure of thrombectomy from the prosthesis or recidivation of thrombus on the operative table should be considered as an indication for a substitution of the prosthesis. The results obtained in reoperations are very modest, but at present there is no alternative for an attempt to save not only the ischemic extremity but also the patient's life.