Revascularization of lower limbs in the conditions of the risk development of reperfusion complications

Abstract

The aim — to prevent the development of reperfusion complications in patients with atherosclerotic occlusion of the major arteries of the lower extremities with high risk of reperfusion complications.Materials and methods. The work involved 52 patients with a high risk of reperfusion complications. The risk of reperfusion complications was assessed by the level of C­reactive protein, lactate, and the degree of endogenous intoxication syndrome. Preoperative preparation included prolonged epidural anesthesia, leukapheresis sessions, intravenous administration of hydroxyethyl starch, alprostadil, corvettin. The revascularization of the arterial bed was carried out using a number of techniques and methods of surgical intervention.Results and discussion. Following the above principles, 52 patients were operated. During the analysis of the course of the postoperative period, 7 (13.5 %) cases of reperfusion syndrome manifestations were diagnosed in patients.Conclusions. Pathogenetically grounded preoperative preparation and the use of surgical procedures and surgical interventions in the reconstructive interventions of atherosclerotic multilevel occlusion of the major arteries of the lower extremities in patients with high risk of reperfusion complications have made it possible to prevent the development of a number of reperfusion and thrombotic complications.