Lots of interesting abstracts and cases were submitted for TCTAP 2024. Below are the accepted ones after a thorough review by our official reviewers. Don’t miss the opportunity to expand your knowledge and interact with authors as well as virtual participants by sharing your opinion in the comment section!
TCTAP A-045
Reconstructive Surgery of the Infrainguinal Arterial Segment in Patients With Chronic and Subcritical Ischemia of the Lower Extremities: A One-Year Experience of a New Vascular Center
By Leonid Ladyshenskij, Anastasiia Sochnieva, Veronika Sliziuk, Paulina Labun
Presenter
Veronika Sliziuk
Authors
Leonid Ladyshenskij1, Anastasiia Sochnieva2, Veronika Sliziuk1, Paulina Labun1
Affiliation
Erzgebirgsklinikum Annaberg, Germany1, Educational and Scientific Medical Institute of the National Technical University “Kharkiv Polytechnic Institute”, Ukraine2
View Study Report
TCTAP A-045
Surgical Therapy (Endovascular)
Reconstructive Surgery of the Infrainguinal Arterial Segment in Patients With Chronic and Subcritical Ischemia of the Lower Extremities: A One-Year Experience of a New Vascular Center
Leonid Ladyshenskij1, Anastasiia Sochnieva2, Veronika Sliziuk1, Paulina Labun1
Erzgebirgsklinikum Annaberg, Germany1, Educational and Scientific Medical Institute of the National Technical University “Kharkiv Polytechnic Institute”, Ukraine2
Background
The lack of adequate “outflow” pathways and the underestimated state of the “inflow” pathways, the prevalence of the atherosclerotic process worsen the results of reconstructive treatment of patients with damage to the infrainguinal arterial segment.
Methods
The one-year experience of the new Vascular Surgery Clinic, Erzgebirgsklinikum Annaberg, Germany for 2023 was retrospectively and prospectively collected, including the results of reconstructive operations of31 patients with chronic and subcritical limb ischemia in stages III - 11(35.5%) and IV - 17 (54.9 %) according to Fontaine and subcritical ischemia in3 (9.6%). There were 24 men (77.4%) and 7 (22.6%) women. The age of the patients ranged from 62 to 88 years (median 69.8 years). The duration ofischemia ranged from 1 to 8 months (median 2.3 months).
Results
Femoro-popliteal - 11 (35.4%), femoro-tibial- 10 (32.3%) and popliteal-tibial - 10 (32.3%) bypasses were performed. During femoropopliteal (P1 segment) bypass, a synthetic prosthesis (5-8 mm indiameter) was used in 7 (22.6%) patients; when anastomosing with the P3 segment, in 4 (12.9%) cases using an autovein. Proximal anastomosis was performed with the common femoral artery, distal in 1 (3.2%) with the tibiopereneal trunk, in 4 (12.9%)with the posterior tibial artery, in 2 (6.4%) with the anterior tibial artery and in 7 (22.6%) cases with the peroneal artery, of which 2 (6.4%) cases underwent composite or synthetic prothese bypass surgery. In P3-pedal bypass surgery, the dorsal pedis artery was used in 6 (19.4%) cases. The postoperative period was complicated by thrombosis of the synthetic shunt in 2 (6.4%) cases -successful thrombectomy was performed. In 1 (3.2%) patient with a pedal shunt, amputation was performed due to its thrombosis and progression of ischemia. No deaths were noted.
Conclusion
One-year experience indicates the absence of complications in patients with autovenous bypass in the presence of adequatedistal “outflow” pathways, as well as the need to find methods for preventing postoperative complications in patients with its absence.