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[Reconstructive surgeries on abdominal aorta and leg's arteries in combination with coronary and brachiocephalic
I V Belov1, T L Sultanian, N L Baiandin
1Scientific Center of Surgery RAMN, Moscow.
Abstract:
The paper presents the 10-year outcomes of treatment of 260 patients with combined vascular atherosclerotic lesions of the heart, brain, and lower extremities. Pandopplerography of peripheral vessels, ECG, EchoCG revealed combined lesions to the major vascular basin in 12% of all the patients with atherosclerosis. The lower extremity vascular basin was surgically corrected in 134 patients. Both one-stage operations making up 19% of all interventions and providing evidence for their high efficiency and multistage or isolated reparative operation on the abdominal aorta and leg arteries. The total mortality was 7.5% when the lower extremity vascular basin was corrected in three-region lesions; amputations were performed in 3% of patients.