Distant result prognostication in illeofemoral reconstructive surgery in patients with obliterating atherosclerosis using morphometria of vascular wall


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Abstract

Scientific prognostication of distant results in reconstructive surgery in illeofemoral area for patients with obliterating
atherosclerosis using morphometria of the vascular wall. The study investigates 49 patients operated on aortoilliac arterial
segment. Observation period took 5 years. Late thrombotic reocclusions were presented in 16 patients (32,6%). Morphological investigations with morphometria of vascular walls were carried out. During the early and late postoperative period
permeability of reconstructed zones, as well as main artery permeability further than anaestamosis zone were estimated.
Prognostically unfavorable signs in respect of high possibility of thrombotic reocclusions in late postoperative period are as
follows:presence of macrophages in the arteries, intimae hyperplasia with degenerative elements etc. According to this data  a prognostic model for determination of late postoperative thrombotic reocclusions for patients with aortoilliac arterial
surgery was created

About the authors

Alexander Aleksandrovich Polyantsev

Volgograd state medical University

Author for correspondence.
Email: frolden@aport.ru

MD, Professor, head of Department of General surgery
urology

Russian Federation, Russia, Volgograd, the square of the Fallen Fighters, 1

Pavel Vyacheslavovich Mozgovoy

Volgograd state medical University

Email: frolden@aport.ru

 Ph. D., Professor
Department of faculty surgery

Russian Federation, Russia, Volgograd, the square of the Fallen Fighters, 1

Denis Vladimirovich Frolov

Volgograd state medical University

Email: frolden@aport.ru

 PhD, associate Professor of General surgery with urology

Russian Federation, Russia, Volgograd, the square of the Fallen Fighters, 1

Igor Aleksandrovich Polikarpov

Volgograd state medical University

Email: frolden@aport.ru

assistant, Department of General surgery with urology

Russian Federation, Russia, Volgograd, the square of the Fallen Fighters, 1

Vadim Valerievich Naumov

Volgograd state medical University

Email: frolden@aport.ru

 postgraduate student of the Department  General surgery urology

Russian Federation, Russia, Volgograd, the square of the Fallen Fighters, 1

Anastasia Mikhailovna Spilchuk

The Volgograd regional clinical hospital №1

Email: frolden@aport.ru

 doctor of ultrasonic diagnostics Department of radiation diagnostics

Russian Federation, Russia, Volgograd, the square of the Fallen Fighters, 1

Roman Viktorovich Schelokov

Volgograd state University

Email: frolden@aport.ru

 candidate of physico-mathematical Sciences, associate Professor of the Department of laser physics

Russian Federation, Russia, Volgograd, the square of the Fallen Fighters, 1

Yulia Viktorovna Schelokova

Volgograd state medical University

Email: frolden@aport.ru

 student

Russian Federation, Russia, Volgograd, the square of the Fallen Fighters, 1

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Copyright (c) Polyantsev A.A., Mozgovoy P.V., Frolov D.V., Polikarpov I.A., Naumov V.V., Spilchuk A.M., Schelokov R.V., Schelokova Y.V.

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