Hybrid approach of arterial allograft application in reconstructive surgery of the great arteries
- Authors: Kalinin RE1, Suchkov IA2, Karpov VV3, Solianik NA2, Pshennikov AS2,3, Egorov AA2,3
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Affiliations:
- Ryazan State Medical University named after academician I.P. Pavlov,
- Ryazan State Medical University named after academician I.P. Pavlov
- Regional Clinical Hospital
- Issue: Vol 102, No 1 (2021)
- Pages: 104-109
- Section: Clinical experiences
- Submitted: 14.12.2020
- Accepted: 27.01.2021
- Published: 10.02.2021
- URL: https://kazanmedjournal.ru/kazanmedj/article/view/55061
- DOI: https://doi.org/10.17816/KMJ2021-104
- ID: 55061
Cite item
Abstract
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.
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About the authors
R E Kalinin
Ryazan State Medical University named after academician I.P. Pavlov,
Email: sdrr.s@yandex.ru
Russian Federation, Ryazan Russia
I A Suchkov
Ryazan State Medical University named after academician I.P. Pavlov
Email: sdrr.s@yandex.ru
Russian Federation, Ryazan Russia
V V Karpov
Regional Clinical Hospital
Author for correspondence.
Email: sdrr.s@yandex.ru
Russian Federation, Ryazan, Russia
N A Solianik
Ryazan State Medical University named after academician I.P. Pavlov
Email: sdrr.s@yandex.ru
Russian Federation, Ryazan, Russia
A S Pshennikov
Ryazan State Medical University named after academician I.P. Pavlov; Regional Clinical Hospital
Email: sdrr.s@yandex.ru
Russian Federation, Ryazan, Russia; Ryazan, Russia
A A Egorov
Ryazan State Medical University named after academician I.P. Pavlov; Regional Clinical Hospital
Email: sdrr.s@yandex.ru
Russian Federation, Ryazan Russia; Ryazan Russia
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