SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT
Aim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence. The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial...
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department
2021-11-01
|
| Series: | Клінічна та профілактична медицина |
| Subjects: | |
| Online Access: | https://cp-medical.com/index.php/journal/article/view/181 |
| _version_ | 1797658286004109312 |
|---|---|
| author | Y. Hupalo O. Nabolotnyi B. Kulikovskyi O. Shved V. Shaprynskyi A. Shamrai-Sas O. Holiachenko D. Makivchuk V. Gurianov |
| author_facet | Y. Hupalo O. Nabolotnyi B. Kulikovskyi O. Shved V. Shaprynskyi A. Shamrai-Sas O. Holiachenko D. Makivchuk V. Gurianov |
| author_sort | Y. Hupalo |
| collection | DOAJ |
| description | Aim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence.
The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial segment arteries was carried out for the period from 2014 to 2020. Depending on the pathogenesis of acute thrombosis of the popliteal-tibial segment arteries, the patients were divided into three groups: Group 1 – 17 (42.5%) patients with acute arterial thrombosis of the popliteal-tibial segment caused by embolism or thrombosis in the background of stenotic-occlusive diseases of the lower extremitiesvessels; Group 2 – 15 (37.5%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of thromboangiitisobliterans of the lower extremities (Buerger's disease); Group 3 – 8 (20%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of popliteal artery aneurysm. During the follow-up period of 2 months, the incidence of rethrombosis and amputation of the lower limb in the patients of Group A was 5.9% and 5.9%, respectively. In Group B, the incidence of rethrombosis and amputation of the lower limb was 73.3% and 40.0%, respectively. In group C, the incidence of rethrombosis and amputation of the lower limb was 12.5% and 12.5%, respectively.
Conclusions. In patients with acute arterial thrombosis of the popliteal-tibial segment in the background of embolism or stenotic-occlusive diseases, combined endovascular or hybrid surgical interventions showed better results compared to open thrombectomy, in which rethrombosis was diagnosed in 14.3% of cases. In patients with thromboangiitis obliterans of the lower extremities, regional catheter-directed thrombolysis showed better (p=0,04) results compared to open thrombectomy and endovascular interventions, in which rethrombosis was diagnosed in 90% and 100% of cases, respectively. In patients with popliteal artery aneurysm, open surgical interventions or regional catheter-directed thrombolysis showed better results compared to endovascular interventions, in which rethrombosis was diagnosed in 50% of cases. |
| first_indexed | 2024-03-11T17:56:54Z |
| format | Article |
| id | doaj.art-3710e8848d0f41eeaa18de3bae433f63 |
| institution | Directory Open Access Journal |
| issn | 2616-4868 |
| language | English |
| last_indexed | 2024-03-11T17:56:54Z |
| publishDate | 2021-11-01 |
| publisher | State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department |
| record_format | Article |
| series | Клінічна та профілактична медицина |
| spelling | doaj.art-3710e8848d0f41eeaa18de3bae433f632023-10-17T12:06:34ZengState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative DepartmentКлінічна та профілактична медицина2616-48682021-11-014101710.31612/2616-4868.4(18).2021.02181SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENTY. Hupalo0O. Nabolotnyi1B. Kulikovskyi2O. Shved3V. Shaprynskyi4A. Shamrai-Sas5O. Holiachenko6D. Makivchuk7V. Gurianov8State Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, UkraineState Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, UkraineState Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, UkraineState Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, UkraineState Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, UkraineState Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, UkraineState Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, UkraineState Institution of Science “Research and Practical Center of Preventive and Clinical Medicine” State Administrative Department, Kyiv, UkraineBogomolets National Medical University, Kyiv, UkraineAim of the study. Aim of the study was to analyze the outcomes of surgical treatment of acute thrombosis of the popliteal-tibial segment arteries with various etiological factors of its occurrence. The analysis of the surgical treatment of 40 patients with acute thrombosis of the popliteal-tibial segment arteries was carried out for the period from 2014 to 2020. Depending on the pathogenesis of acute thrombosis of the popliteal-tibial segment arteries, the patients were divided into three groups: Group 1 – 17 (42.5%) patients with acute arterial thrombosis of the popliteal-tibial segment caused by embolism or thrombosis in the background of stenotic-occlusive diseases of the lower extremitiesvessels; Group 2 – 15 (37.5%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of thromboangiitisobliterans of the lower extremities (Buerger's disease); Group 3 – 8 (20%) patients with acute arterial thrombosis of the popliteal-tibial segment in the background of popliteal artery aneurysm. During the follow-up period of 2 months, the incidence of rethrombosis and amputation of the lower limb in the patients of Group A was 5.9% and 5.9%, respectively. In Group B, the incidence of rethrombosis and amputation of the lower limb was 73.3% and 40.0%, respectively. In group C, the incidence of rethrombosis and amputation of the lower limb was 12.5% and 12.5%, respectively. Conclusions. In patients with acute arterial thrombosis of the popliteal-tibial segment in the background of embolism or stenotic-occlusive diseases, combined endovascular or hybrid surgical interventions showed better results compared to open thrombectomy, in which rethrombosis was diagnosed in 14.3% of cases. In patients with thromboangiitis obliterans of the lower extremities, regional catheter-directed thrombolysis showed better (p=0,04) results compared to open thrombectomy and endovascular interventions, in which rethrombosis was diagnosed in 90% and 100% of cases, respectively. In patients with popliteal artery aneurysm, open surgical interventions or regional catheter-directed thrombolysis showed better results compared to endovascular interventions, in which rethrombosis was diagnosed in 50% of cases.https://cp-medical.com/index.php/journal/article/view/181arterial thrombosis, popliteal artery embolism, thromboangiitis obliterans, buerger's disease, popliteal artery aneurysm. |
| spellingShingle | Y. Hupalo O. Nabolotnyi B. Kulikovskyi O. Shved V. Shaprynskyi A. Shamrai-Sas O. Holiachenko D. Makivchuk V. Gurianov SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT Клінічна та профілактична медицина arterial thrombosis, popliteal artery embolism, thromboangiitis obliterans, buerger's disease, popliteal artery aneurysm. |
| title | SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT |
| title_full | SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT |
| title_fullStr | SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT |
| title_full_unstemmed | SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT |
| title_short | SURGICAL TREATMENT OF ACUTE THROMBOSIS ARTERIES OF INFRAPOPLITEAL SEGMENT |
| title_sort | surgical treatment of acute thrombosis arteries of infrapopliteal segment |
| topic | arterial thrombosis, popliteal artery embolism, thromboangiitis obliterans, buerger's disease, popliteal artery aneurysm. |
| url | https://cp-medical.com/index.php/journal/article/view/181 |
| work_keys_str_mv | AT yhupalo surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment AT onabolotnyi surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment AT bkulikovskyi surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment AT oshved surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment AT vshaprynskyi surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment AT ashamraisas surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment AT oholiachenko surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment AT dmakivchuk surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment AT vgurianov surgicaltreatmentofacutethrombosisarteriesofinfrapoplitealsegment |