LIMB REVASCULARIZATION THROUGH THE DEEP FEMORAL-ARTERY IN ATHEROSCLEROTIC FEMOROPOPLITEAL OCCLUSIONS

The article analyses the results of examination and surgical treatment of 101 patients who were subjected to 105 reconstructive interventions on the deep femoral artery (DFA) Angiography showed affection of the orifice, and beginning (up to 2cm) of the DFA in 57.14 % of cases; for a distance of 2-6 cm in 24.76 %, and for a distance of more than 6 cm in 18.1 % of cases. Arterial outflow was found to be excellent in 52.38 %, good in 21.9 %, satisfactory in 19.05 %, and poor iri 6.67 % of cases. According to the findings of ultrasonic dopplerometry the changes of regional hemodynamics were most marked in III degree ischemia of the limb. Endarterectomy with the formation of a new communication between the superficial and deep femoral arteries was conducted in 14 cases, autovenous profundoplasty in 21, autoarterial profundoplasty in 35, autoarterial prosthetics of the DFA in 14, and autovenous DFA prosthetics in 21 cases. In 87.13 % of patients the operation on the DFA was combined with lumbar sympathectomy. Choice of the method for DFA reconstruction on the basis of morphofunctional appraisal of the occlusive-stenotic process, the condition of collateral circulation and the outflow paths made it possible to achieve favorable results both in the immediate and late-term postoperative periods in more than 73 % of cases.