WAYS TO IMPROVE RESULTS OF SEMI-CLOSED LOOP ENDARTERECTOMY FROM THE SUPERFICIAL FEMORAL ARTERY IN PATIENTS WITH PERIPHERIAL DISEASE OF LOWER LIMBS VESSELS
Aim: was to improve results of a semi-closed loop endarterectomy from the superficial femoral artery (SFA). Materials and methods: study is based on results of the examination and treatment of 85 patients with obliterating atherosclerosis of lower limbs, who underwent operations in FGBI «Russian Scientific Center of Radiology and Surgical Technologies» Health Ministry from 2008 to 2012. All patients included in the study were divided into 2 groups : • Main group - 30 patients operated on by a combination loop endarterectomy with simultaneous implantation of endovascular stent-grafts in SFA. • The control group - 55 patients operated on a routine procedure loop endarterectomy. Patients included in the comparison group were matched by gender, age, comorbidity, stage of ischemia and the outflow channel. Results: The primary patency of the reconstructed area in the main group at 1 year was 73% after 1 years - 63%, cumulative - 76% at 1 year and 70% at 2 years, the limb is stored in 90% of cases (at 1 and 2 years of follow). Patients in the control group remained SFA patency at 1 year in 43% of cases, after 2 years - 32%. Conclusion: Post-endarterectomy stent placement in SFA significantly improved results of loop endarterectomy With a diameter of 8 mm and PBA more loop endarterectomy with implantation of stent grafts is a clinically and economically feasible