Open AccessHybrid approach of arterial allograft application in reconstructive surgery of the great arteries
Author(s) -
R.E. Каlinin,
Калинин Роман Евгеньевич,
I.А. Suchkov,
Сучков Игорь Александрович,
В. В. Карпов,
Карпов Вячеслав Владимирович,
N A Solianik,
Соляник Никита Андреевич,
А С Пшенников,
Пшенников Александр Сергеевич,
A.A. Egorov,
Егоров Андрей Александрович
Publication year - 2021
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kmj2021-104
Subject(s) - medicine , surgery , duplex scanning , angioplasty , femoral artery , prosthesis , balloon , arterial tree , artery , transplantation , popliteal artery , blood flow , angiography , radiology , cardiology , stenosis
The article presents a case of a hybrid intervention using an arterial allograft on the great arteries of the lower extremities in a patient with chronic limb threatening ischemia and prosthetic infection. The patient has a history of repeated operations using synthetic polytetrafluoroethylene and dacron prostheses. In the early postoperative period, a clinical presentation of the prosthesis bed suppuration developed. The article shows the main phases of patient treatment: removal of synthetic prostheses, transplantation of the donor femoral artery, and balloon angioplasty of the popliteal and anterolateral arteries. In the postoperative period, blood circulation in the lower limb is fully compensated, and the dorsal pedis artery pulse is determined. Wounds were healed by primary intention. At the control visit after 6 months, no adverse events were revealed; according to the data of duplex scanning, the main blood flow in the arteries of the leg was recorded, the blood circulation was fully compensated. Thus, hybrid intervention using arterial allograft and balloon angioplasty of the popliteal and anterolateral tibial arteries proved to be an effective method of treatment in the current clinical situation.