Long-Term Results of Microscopic Lymphatic Vessel-Isolated Vein Anastomosis for Secondary Lymphedema of the Lower Extremities

There is an assumption that an important role in the occlusive process of the great arteries of the leg and foot in obliterating endarteritis is played by the factor of extravasal compression associated with pathological degeneration of paravasal tissue.

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Anatomic and surgical features of lower extremities blood vessels in case of major veins dysplasia in children with various type and severity of the disease according to data of contrast flebography

Pediatrician (St Petersburg) ◽

10.17816/ped11225-32 ◽

2020 ◽

Vol 11 (2) ◽

pp. 25-32

Author(s):

Mikhail V. Azarov ◽

Dmitry D. Kupatadze ◽

Viktor V. Nabokov ◽

Suren M. Kocharyan

Keyword(s):

Blood Vessels ◽

Soft Tissues ◽

Vascular Malformations ◽

Low Cost ◽

Lower Extremities ◽

Surgical Anatomy ◽

Long Term Results ◽

Severity Of The Disease ◽

Medical University

Dysplasia of the main veins (DMV) is known by the names of the authors who described this pathology as Klippel Trenone syndrome. The clinical picture of Klippel Trenone syndrome (CTS) in the classical version is characterized by a triad of symptoms: vascular spots, varicose atypical veins, hypertrophy of soft tissues and bones with an increase in the volume and length of the affected limb. The incidence of this defect from all vascular malformations is 49.6%. To diagnose a malformation, ultrasound is used Dopplerography, MRI and MSCT with contrast, ascending venography. Vasocontrast methods reveal various options for surgical anatomy of the veins of the affected limbs. To assess the anatomy of deep veins, we used upward contrasting, since we consider this species to be more accurate and low-cost. The study is based on the results of examination and treatment of 200 patients. Long-term results were analyzed in 108 patients with congenital malformations of the vessels of the lower extremities aged 1 year to 18 years, who were in the angiomicrosurgical department of the Pediatric Medical University from 2005 to 2015. Patients were divided into 2 groups: the embryonic type 70 people (of which 42 boys and 28 girls), and the fetal type 38 people (16 of them boys, 22 girls). In this paper, we analyze the results of ascending phlebography of the extremities, which is considered the gold standard for examining vein malformations. Contrast phlebography in 108 patients with dysplasia of the main veins, hypo- and dysplasia of segments of the deep and superficial veins were detected 63%; atypical location of superficial or deep veins with the presence of congenital pathways of the collateral outflow 30%, aplasia of the veins 7%. Conclusions: phlebography data accurately determine the surgical anatomy of blood vessels in patients with dysplasia of the main veins. The data obtained during the ascending phlebography, in almost 100% of cases coincide with intraoperative data thus allowing the development of optimal tactics of operations in the veins, and also scrutinize the pathology of musculoskeletal system.

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SHORT-TERM RESULTS OF ENDOVASCULAR TREATMENT FOR OBLITERATING ATHEROSCLEROSIS OF THE LOWER EXTREMITIES ARTERIES IN PATIENTS OVER 70 YEARS OF AGE

Vestnik of Vitebsk State Medical University ◽

10.22263/2312-4156.2021.2.38 ◽

2021 ◽

Vol 20 (2) ◽

pp. 38-44

Author(s):

V.A. Yanushko ◽

◽

I.P. Klimchuk ◽

S.V. Mshar ◽

G.E. Kordzakhia ◽

...

Keyword(s):

Endovascular Treatment ◽

Cardiac Failure ◽

Lower Extremities ◽

Lower Limbs ◽

Long Term Results ◽

Technical Success ◽

Short Term ◽

Limb Preservation ◽

Early Results

Objectives. To analyze short-term results of endovascular treatment for obliterating atherosclerosis of the lower extremities arteries in patients over 70 years of age. Material and methods. From 2015 to 2019, 75 lower limbs were revascularized in 72 patients. Their mean age was 74.7±4.51 years. There were 67 (93%) patients with ischemia of the 3rd - the 4th degree according to Fontaine-Pokrovsky classification. Revascularization of the iliac segment was performed in 35 (48.6%) patients, of the iliofemoral segment - in 5 (7%), the femoral-popliteal segment - in 24 (33.4%), the tibial segment - in 8 (11%) patients. Results. Technical success was attained in 97.2% of cases. The limb preservation was achieved in 100% of cases. Thrombosis of the revascularized artery developed in 2 (2.7%) cases (it was repaired endovascularly). Two patients (2.77%) died of acute cardiac failure. Conclusions. Our study has shown good early results of endovascular treatment for obliterating atherosclerosis of the lower limbs arteries in patients over 70 years of age. High amputations were avoided in 100% of cases. However, an assessment of long-term results is required.

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CLINICAL AND ULTRASOUND CHARACTERISTICS IN TREATMENT GROUPS OF PATIENTS WITH ACUTE THROMBOSIS OF DEEP LOWER EXTREMITY

EurasianUnionScientists ◽

10.31618/esu.2413-9335.2020.6.74.760 ◽

2020 ◽

Vol 6 (5(74)) ◽

pp. 69-71

Author(s):

V.R. Khasanov

Keyword(s):

Lower Extremity ◽

Antiplatelet Therapy ◽

Ultrasound Examination ◽

Lower Extremities ◽

Long Term Results ◽

Aspiration Thrombectomy ◽

Acute Thrombosis ◽

Treatment Groups ◽

Vein Thrombosis

The article is dedicated to thestudy ofthe effectiveness, immediate and long-term results, according to ultrasound examination, catheter-aspiration thrombectomy, thrombolysis and antiplatelet therapy in patients with acute vein thrombosis of the lower extremities, since there is no consensus in the available literature on the feasibility and results of endovascular catheter-aspiration thrombectomy and thrombolysis with thrombosis of the veins of the lower extremities

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Long-term results of surgical treatment of varicose veins of the lower extremities

Kazan medical journal ◽

10.17816/kazmj77371 ◽

1927 ◽

Vol 23 (9) ◽

pp. 967-967

Author(s):

N. I. Blinov

Keyword(s):

Surgical Treatment ◽

Varicose Veins ◽

Lower Extremities ◽

Complete Removal ◽

Lower Leg ◽

Long Term Results

The author cites data on such results in 50 patients operated on in different ways in the clinic of Prof. Hesse. The best results were obtained by complete removal of v. saphenae magnae on the thigh and lower leg.

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Comparative results of different methods of arterial reconstruction in the patients with critical stenosis of the femoral-popliteal-tibial segment

Regional blood circulation and microcirculation ◽

10.24884/1682-6655-2017-16-3-41-48 ◽

2017 ◽

Vol 16 (3) ◽

pp. 41-48 ◽

Cited By ~ 1

Author(s):

A. A. Koidan ◽

I. V. Batalin ◽

V. N. Vavilov ◽

M. Y. Kaputin ◽

A. V. Atmadzas ◽

...

Keyword(s):

Critical Limb Ischemia ◽

Lower Limb ◽

Intervention Group ◽

Lower Extremities ◽

Limb Ischemia ◽

Tissue Loss ◽

Long Term Results ◽

City Hospital ◽

Research Institute

Introduction. Critical limb ischemia (CLI), which arises from atherosclerotic lesions of the arteries is quite often presently. This problem is actively discussed all over the world. In addition to the disability of the patients due to limb loss, the death rate from this disease is comparable to mortality from malignant tumors. Objective. Evaluate immediate and long-term results and optimize treatment tactics for patients with critical limb ischemia in multilevel lesions of lower limb arteries. Materials and methods. The examination and treatment of patients with CLI was carried out in the Research Institute of Surgery and Urgent Medicine of the First State Medical University of Saint-Petersburg named by I. P. Pavlov, as well as on the basis of the City Clinical Hospital «City Hospital No. 14» and St. Petersburg Research Institute of Emergency Care named by I. I. Dzhanelidze in the period from 2005 to 2016. The study is conducted in patients with atherosclerotic lesion of the main arteries of the lower extremities, which manifests itself as pain at rest and/or tissue loss (stage 3-4 of chronic arterial insufficiency of the limb according to Fontein-Pokrovsky classification). Results. Clinical success of all kinds of interventions was achieved in 166 (88.8 %) patients. However, the negative results were greater in the group where only angioplasty of the lower limb arteries was performed. Long-term results could be traced in 108 (57.8 %) patients for 6 months - 5 years. If we consider all groups as a whole, then the aggravation of ischemia occurred in endovascular intervention group in 62 % of patients, in the group of bypass operations - in 19.61 %, and in the group of hybrid interventions - in 17.65 %. Conclusion. Hybrid methods of treatment are the method of choice for patients with stage 4 ischemia of the lower limb with multilevel lesions of lower extremity arteries. Open surgery on the arteries of the lower extremities remains a very effective method of treating patients with critical ischemia. In turn, the use of endovascular methods is advisable in patients with severe concomitant pathology.

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