Archive \ Volume.15 2024 Issue 4

Hybrid Revascularization in Treatment of Patients with Multilevel Vascular Lesion of Lower Extremities of Atherosclerotic Genesis

Ahmed Aslanov*✉ , Rustam Kalibatov , Oksana Logvina , Azamat Batov , Adam Apikov , Liana Kardanova , Ahmed Kugotov , Zalim Bakov , Zalim Baksanokov , Liza Taukenova , Artur Zhirikov
  1. Department of Therapy, Republican Clinical Medical and Surgical Center, Ministry of Health of Kabardino-Balkarian Republic, Nalchik, Russia.

  2. Department of Therapy, Faculty of Medicine, Kabardino-Balkarian State University named after Kh. M. Berbekov, Nalchik, Russia.

  3. Scientific Department, Ministry of Health of Kabardino-Balkarian Republic, Nalchik, Russia.

  4. Department of Therapy, Republican Clinical Multidisciplinary Center of High Medical Technologies, Ministry of Health of Kabardino-Balkarian Republic, Nalchik, Russia.

  5. Department of Therapy, Central Hospital of Tersk District, Nalchik, Russia.
  6. Department of Therapy, Oncological Dispensary, Ministry of Health of Kabardino-Balkarian Republic, Nalchik, Russia.

Abstract

This study aimed to evaluate the results of "hybrid operations" in patients with multilevel lesions of the lower extremities. For this study, 26 patients who underwent "hybrid operations" from 2023 to 2024 were selected. Ultrasound Dopplerography, ultrasound duplex scanning, and CT angiography were used to study the main arteries of the lower extremities. All patients were divided into two groups. In the first group, the ilio-femoral segment underwent isolated open reconstruction. In the second group hybrid revascularization of the same segment was performed with multilevel lesions of the arteries of the lower extremities. It was found that performing open methods of revascularization of the distal bed is possible only in the presence of adequate outflow through the arteries of the lower leg, which has the advantage of hybrid operations. The traumatism of hybrid operations is less, which is better tolerated by patients with severe concomitant diseases. Notably, hybrid revascularization operations are the method of choice in patients with chronic lower limb ischemia of the IV degree, contributing to faster healing of trophic disorders and preservation of the limb for a longer period.


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Vancouver
Aslanov A, Kalibatov R, Logvina O, Batov A, Apikov A, Kardanova L, et al. Hybrid Revascularization in Treatment of Patients with Multilevel Vascular Lesion of Lower Extremities of Atherosclerotic Genesis. Arch Pharm Pract. 2024;15(4):21-4. https://doi.org/10.51847/Dfcf6mz3gd
APA
Aslanov, A., Kalibatov, R., Logvina, O., Batov, A., Apikov, A., Kardanova, L., Kugotov, A., Bakov, Z., Baksanokov, Z., Taukenova, L., et al. (2024). Hybrid Revascularization in Treatment of Patients with Multilevel Vascular Lesion of Lower Extremities of Atherosclerotic Genesis. Archives of Pharmacy Practice, 15(4), 21-24. https://doi.org/10.51847/Dfcf6mz3gd

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