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

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


Alexander Aleksandrovich Polyantsev

Volgograd state medical University

Author for correspondence.
Email: frolden@aport.ru

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

MD, Professor, head of Department of General surgery
urology

Pavel Vyacheslavovich Mozgovoy

Volgograd state medical University

Email: frolden@aport.ru

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

 Ph. D., Professor
Department of faculty surgery

Denis Vladimirovich Frolov

Volgograd state medical University

Email: frolden@aport.ru

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

 PhD, associate Professor of General surgery with urology

Igor Aleksandrovich Polikarpov

Volgograd state medical University

Email: frolden@aport.ru

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

assistant, Department of General surgery with urology

Vadim Valerievich Naumov

Volgograd state medical University

Email: frolden@aport.ru

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

 postgraduate student of the Department  General surgery urology

Anastasia Mikhailovna Spilchuk

The Volgograd regional clinical hospital №1

Email: frolden@aport.ru

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

 doctor of ultrasonic diagnostics Department of radiation diagnostics

Roman Viktorovich Schelokov

Volgograd state University

Email: frolden@aport.ru

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

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

Yulia Viktorovna Schelokova

Volgograd state medical University

Email: frolden@aport.ru

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

 student

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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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