5. Surgical Treatment Of Arterial Aneurysms Of The Lower Limb

Authors

  • Кhanchi Mead JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • A.Zh Matkerimov JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • A.S. Tergeussizov JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • T.N. Demeuov JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • A.A. Baubekov JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • M.A. Zhakubayev JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • T.K. Tajibayev JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • M.M. Khanchi JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • A.S. Shamshiev JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan

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Abstract

Peripheral artery aneurysms are dangerous with possible complications such as ruptures, bleeding, thromboembolism in the distal bed with subsequent tissue ischemia, neurological disorders due to pressure of closely located nerve trunks. One of the most common causes of peripheral artery aneurysms is trauma. Special attention should be paid to a sig-nificant increase in the number of iatrogenic injuries. From 2000 to 2019, 46 patients were operated on the arteries of the lower extremities. Operations of various types of reconstructions were performed. The total age of the patients ranged from 30 to 76 years, the average age of the patients was 43.3± 6.5 years. A total of 6 (9.2%) patients were operated on with combined aneurysmal lesion of the femoral and popliteal arteries. In the postoperative period, 91.5% of patients with peripheral artery aneurysm had positive clinical. results. 4 (8.5%) de-veloped complications. Long-term results were tracked in the period from 3 months to 3 years. A clinical examination was performed, supplemented by ultrasound control. 2 cases of thrombosis in the distal anastomosis were identified, which were restored after reconstruction of the distal anastomosis.

Objective: to improve the diagnosis and results of surgical treatment of patients with lower limb arteries.

Keywords

surgical treatment of peripheral artery aneurysm, common femo-ral artery aneurysm, Popliteal artery

References

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  2. J.Y. Buethe, S. Soriano, J. Jean-Claude, G. Pinault, P. Kang. Endovascular Versus Open Surgical Popliteal Artery Aneurysm Repair: A Single-Center Experience// The International Symposium on Endo-vascular Therapy (ISET) 2016 February 6–10 2016, Hollywood, Florida
  3. Кhanchi Mead., Matkerimov A.Zh, Tergeussizov A.S., Demeuov T.N., Baubekov A.A., Zhakubayev M.A., Tajibayev T.K. Yerkinbaev N.N. MakkamovR.O. Saduakas A.Y. Clinical and academic aspects of pe-ripheral artery aneurism(part one) (literature review) //Center of Surgery named after A.N. Syzganov (Al-maty, Kazakhstan) 2020,
  4. Кhanchi Mead., Matkerimov A.Zh, Tergeussizov A.S., Demeuov T.N., Baubekov A.A., Zhakubayev M.A., Tajibayev T.K. Yerkinbaev N.N. MakkamovR.O. Sad-uakas A.Y. Сlinical and academic aspects of peripheral artery aneurism (part two)//Center of Surgery named after A.N. Syzganov (Almaty, Kazakhstan) 2020, Bul-letin of Surgery Kazakhstan No. 4, 59-62
  5. Кhanchi Mead., Matkerimov A.Zh, Tergeussizov A.S., Demeuov T.N., Baubekov A.A., Zhakubayev M.A., Tajibayev T.K. Monograph // Surgical treatment of peripheral vascular aneurysm, 2021
  6. Pulli R., Dorigo W., Troisi N., Innocenti A.A., Pratesi G., Azas L. et al. Surgical management of popliteal artery aneurysms: which factors affect outcomes? //J. Vase. Surg. 2006; Vol. 43: p. 481-487. SURGICAL TREATMENT OF ARTERIAL ANEURYSMS OF THE LOWER LIMB

Published

2021-11-15

Issue

No. 3 (2021)

Section

Статьи