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CLINICAL CASE OF ENDOVASCULAR TREATMENT OF THE OCCLUSION OF THE INFRARENAL AORTA

https://doi.org/10.18705/2311-4495-2017-4-3-12-16

Abstract

We introduce the clinical case of a one-stage endovascular treatment of aortoiliac occlusion, the Lerish syndrome. There were no complications during the treatment. The patient is discharged in a satisfactory condition. The technique of performing operation is described in details. Thus, this method is possible to effectively and safely treatment of Lerish’s syndrome and, in contrast to open reconstructive interventions with less trauma.

About the Authors

M. A. Chernyavsky
Almazov National Medical Research Centre
Russian Federation

Michail A. Chernyavskу - MD, PhD, head of research department of vascular and endovascular surgery.

Saint Petersburg



E. D. Zvereva
Almazov National Medical Research Centre
Russian Federation

Ekaterina D. Zvereva - MD, cardiovascular surgeon, PhD student, department of surgical disease.

Akkuratova str. 2, Saint Petersburg, 197341



V. V. Guryev
Almazov National Medical Research Centre
Russian Federation

Valentin V. Guryev - MD, endovascular surgeon, PhD student, department of surgical disease.

Saint Petersburg



References

1. Dormandy J, Mahir M, Ascady G, et al. Fate of the patient with chronic leg ischaemia. A review article. The Journal of cardiovascular surgery. 1989;30(1):50-57.

2. Stoffers HEJH, Kaiser V, Knottnerus JA. Prevalence in general practice. In: Fowkes FGR, ed. Epidemiology of Peripheral Vascular Disease. London: Springer-Verlag, 1991:109-115.

3. Spiridonov AA, Fitileva EB, Arakelyan VS. Dependence of mortality in surgical treatment of chronic lower limb ischemia. Annals of surgery.1996;1:62-66. In Russian. [Спиридонов А.А., Фитилева Е.Б., Аракелян В.С. Пути снижения летальности при хирургическом лечении хронической ишемии нижних конечностей. Анналы хирургии. 1996; 1: 62-66].

4. Alekyan BG, Olesh M, Spiridonov AA, et al. Multi-stage endovascular treatment (recanalization, balloon dilatation, stenting) of a patient with atherosclerotic lesion of the arteries of the lower limbs. Thoracic and cardiovascular surgery. 1995;5:77-79. In Russian. [Алекян Б.Г., Олеш, М., Спиридонов, А.А. и др. Многоэтапное эндоваскулярное лечение (реканализация, баллонная дилатацияя. стентирование) больного с атеросклеротическим поражением артерий нижних конечностей. Грудная и сердечно-сосудистая хирургия. 1995; 5: 77-79].

5. Zhivarev GV, Korotkoe NI, Aleksandrov AL, et al. Outcomes of aortoscopic shunting in Lerish syndrome. III All-Russian Congress of Cardiovascular Surgeons. 1996; 253. In Russian. [Живарев Г.В., Короткое Н.И., Александров A.Л. и др. Исходы аортобедренного шунтирования при синдроме Лериша. III Всероссийский съезд сердечнососудистых хирургов. 1996; 253].

6. Kazanchyan PO, Popov VA, Debelyy YuV, et al. Aorto-ileum-femoral reconstructions by the method of eversion endarterectomy. Reasonable return to the past. Angiology and vascular surgery. 1999;5:71-80. In Russian. [Казанчян П.О., Попов В.А., Дебелый Ю.В. и др. Аорто-подвздошно-бедренные реконструкции методом эверсионной эндартерэктомии. Разумный возврат к прошлому. Ангиология и сосудистая хирургия. 1999; 5: 71-80].

7. Guch AA, Vereshchagin SV, Kondratyuk VA. Determination of indications for primary X-ray endovascular artery prosthetics of the ileum-femoral segment. Echography. 2000; 1: 155-158. [Гуч А.А., Верещагин С.В., Кондратюк В.А. Определение показаний к первичному рентгеноэндоваскулярному протезированию артерий подвздошно-бедренного сегмента. Эхография. 2000; 1: 155-158].

8. Rabkin IKh. X-ray endovascular surgery. Surgery. 1980; 4: 82-88. [Рабкин И.Х. Рентгеноэндоваскулярная хирургия. Хирургия. 1980; 4: 82–88].

9. Klein WM, van der Graaf Y, Seegers J, et al. Longterm cardiovascular morbidity, mortality, and reintervention after endovascular treatment in patients with iliac artery disease: The Dutch Iliac Stent Trial Study. Radiology. 2004; 232(2): 491-498.

10. Ponec D, Jaff MR, Swischuk J. et al. The Nitinol SMART stent vs Wallstent for suboptimal iliac artery angioplasty: CRISP-US trial results. Journal of vascular and interventional radiology. 2014; 15(9): 911-918.

11. Pokrovsky AV, Spiridonov AA, Kazanchyan PO, Karimov ShI. Chronic occlusive diseases of the abdominal aorta and its branches. Tashkent: Medicine, 1982: 319. In Russian. [Покровский А.В., Спиридонов А.А., Казанчян П.О., Каримов Ш.И. Хронические окклюзионные заболевания брюшной аорты и ее ветвей. Ташкент: Медицина, 1982: 319].

12. Norgren L, Hiatt WR, Dormandy JA, et al. Intersociety consensus for the management of peripheral arterial disease (TASC II). European Journal of Vascular and Endovascular Surgery. 2007; 33(1): S1-S75.

13. Verma H, Baliga K, George RK, et al. Surgical and endovascular treatment of occlusive aortic syndromes. The Journal of cardiovascular surgery. 2013; 54(1 Suppl 1): 55-69.

14. de Vries S, Hunink M. Results of aortic bifurcation grafts for aortoiliac occlusive disease: A meta-analysis. Journal of Vascular Surgery. 1997; 26(4):558-569.

15. Palmaz JC, Encarnacion CE, Garcia OJ, et al. Aortic bifurcation stenosis: treatment with intravascular stents. Journal of Vascular and Interventional Radiology. 1991; 2(3): 319-323.

16. Mwipatayi BP, Thomas S, Wong J, et al. A comparison of covered vs bare expandable stents for the treatment of aortoiliac occlusive disease. Journal of vascular surgery. 2011; 54(6): 1561-1570.

17. Grimme FA, Goverde PA, Van Oostayen JA, et al. Covered stents for aortoiliac reconstruction of chronic occlusive lesions. J Cardiovasc Surg (Torino). 2012;53(3): 279-289.

18. Ye W, Liu CW, Ricco JB, et al. Early and late outcomes of percutaneous treatment of TransAtlantic InterSociety Consensus class C and D aorto-iliac lesions. Journal of vascular surgery. 2011; 53(6): 1728-1737.

19. Suzuki K, Mizutani Y, Soga Y, et al. Efficacy and safety of endovascular therapy for aortoiliac TASC D Lesions. Angiology. 2017; 68(1): 67-73.

20. Clair DG, Beach JM. Strategies for managing aortoiliac occlusions: access, treatment and outcomes. Expert review of cardiovascular therapy. 2015; 13(5): 551-563.


Review

For citations:


Chernyavsky M.A., Zvereva E.D., Guryev V.V. CLINICAL CASE OF ENDOVASCULAR TREATMENT OF THE OCCLUSION OF THE INFRARENAL AORTA. Translational Medicine. 2017;4(3):12-16. (In Russ.) https://doi.org/10.18705/2311-4495-2017-4-3-12-16

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ISSN 2311-4495 (Print)
ISSN 2410-5155 (Online)