[First experience with "SUPERA Veritas" stent in treatment of patients with occlusive and stenotic lesions of the femoropopliteal arterial segment]. / Pervyi opyt primeneniia stenta «SUPERA Veritas¼ pri lechenii patsientov s zabolevaniiami arterii nizhnikh konechnostei

Surgical interventions are used more often for treatment of patients with lesions of arteries of the femoropopliteal segment. Considerable role in widening indications for using an endovascular method of treatment is played by improvement of roentgenosurgical tools and equipment. Implantation of stents into arteries of this segment has become a standard intervention whose results are the starting point for comparing with the results of other methods of roentgenendovascular revascularization. The SUPERA Veritas system is the first nitinol interwoven stent that is fracture-resistant due to special manufacturing technology. The results of multicenter randomized studies are suggestive of its good clinical effect in restoration of the lumen of arteries of the femoral-popliteal segment. According to the findings of European and American researchers, the stent's primary patency lies within the range from 79.2 to 87.7% which is comparable to primary patency of nitinol stents with antiproliferative drug coating. The authors share the first experience with this stent in Russia, reflecting peculiarities of its implantation, as well as describing clinical case reports of using this stent in arteries of the femoropopliteal segment in patients with atherosclerosis of lower limb arteries and diabetes mellitus, also providing the data on stent's patency one year after implantation according to the findings of noninvasive studies.

[Surgical treatment of patients with atherosclerotic occlusion of the aortoiliac segment combined with distal-bed lesions].

Analysed herein are the outcomes of surgical management of a total of 108 patients presenting with atherosclerotic alterations in the aortoiliac segment in a combination with distal-bed lesions. All patients were subdivided into 3 groups. Group One patients were subjected to surgical treatment consisting in isolated aortoiliac bypass grafting. The deep femoral artery according to the findings of the angiographic study appeared to be large and anastomosed with the popliteal artery. Group Two patients underwent simultaneously performed reconstructions on the aortofemoral segment in a combination with femoropopliteal bypass grafting above and below the knee-joint fissure. Reconstructions in Group Three patients were supplemented with indirect revascularizations of the extremities. The operations performed were represented by the following interventions: arterialization of the venous blood flow of the foot, lumbar sympathectomy, revascularizing osteotrephi nation, administration of gene-engineering complexes. The reconstructions in the aortofemoral segment in this group of patients were supplemented with indirect revascularization due to the presence of diffuse lesions of the distal-bed arteries. Analysing both immediate and remote outcomes of surgical management of these patients made it possible to compare its therapeutic efficacy in the represented groups.

[Methods of treatment in patients with lower extremity arterial occlusive disease in presence of distal arterial lesion. (Part II)].

This report is based upon the data published in Russian and foreign reference sources and represents the analysis of methods of treatment in patients with lower extremity arterial occlusive disease in presence of distal arterial lesion.