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Ultima descărcare din IBN: 2024-04-11 13:07 |
Căutarea după subiecte similare conform CZU |
616.132-004.6-089 (1) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (978) |
SM ISO690:2012 TRÂN, Maxim, CASTRAVEŢ, Andrei, ŢURCAN, Aurel, CHIRIAC, Cristina, CHEPTANARU, Eduard, CIUBOTARU, Anatol. Treatment of unilateral atherosclerotic process of the aortoiliac segment by crossover bypass in ilio-femoral position. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 329. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.132-004.6-089 | ||||||
Pag. 329-329 | ||||||
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Introduction. Atherosclerotic lesion of the aorto-ilio-femoral segment is a current problem for vascular surgery. Extra anatomical by-pass is an alternative method for revascularization of atherosclerotically affected limbs. The purpose of this method is to simplify major surgery. Objectives. Analysis of lower limb revascularization results by crossover bypass in ilio-femoral position. Materials and methods. Retrospective study within Republican Clinical Hospital „Timofei Moșneaga” from the Republic of Moldova, during the years 2017 - 2022 of patients with lower limb ischemia. The following aspects were analyzed: demographic data, location of anastomosis and perioperative complications. Results. This study included 32 patients. The male/female ratio was 31/1. Central anastomosis was applied on the external iliac artery in 71.8% (n = 23), commune iliac artery – 6.25% (n = 2), contralateral ilio-femoral bypass – 9.3% (n = 3), contralateral aorto-femoral bypass – 3.1% (n = 1), branch of aorto-bifemural bypass – 9.3% (n = 3). The distal anastomoses were applied on the on the deep femoral artery bifurcation of the common femoral artery – 65.6% (n = 21), on bifurcation of the common femoral artery in the rest of the cases. Perioperative complications included bypass thrombosis in two cases, intraoperative bladder injury – 1 case. Conclusion. Ilio-femoral bypasses are an alternative to classic method of revascularization in patients who cannot undergo endovascular or open abdominal surgery due to advanced cardiorespiratory pathology, hostile abdomen, porcelain aorta. |
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Cuvinte-cheie bypass, crossover, ilio-femoral, extraanatomical, by-pass, crossover, ilio-femural, extraanatomic |
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