Treatment of edema of the lower extremities after femoro-popliteal shunting

After conducting 367 reconstructive operations for atherosclerotic lesions of arteries below the inguinal ligament the authors encountered postrevascularization edema of the limb in 57 patients. They believe that the underlying factors of this edema are microhemorheological disorders impairing drain...

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Bibliographic Details
Published inHirurgija (Moskva) no. 5; p. 86
Main Authors Ovchinnikov, V A, Bazaev, A V
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.05.1990
Subjects
Adult
Aged
Arteriosclerosis - blood
Arteriosclerosis - surgery
Blood Viscosity
Combined Modality Therapy
Edema - etiology
Edema - therapy
Femoral Artery - surgery
Humans
Leg - blood supply
Male
Middle Aged
Popliteal Artery - surgery
Postoperative Complications - etiology
Postoperative Complications - therapy
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Summary:After conducting 367 reconstructive operations for atherosclerotic lesions of arteries below the inguinal ligament the authors encountered postrevascularization edema of the limb in 57 patients. They believe that the underlying factors of this edema are microhemorheological disorders impairing drainage of blood through the postcapillary venules in which stasis of the cell elements develops. The authors determined these disorders according to the arteriovenous difference in blood viscosity in the involved limb. A negative difference is indicative of marked disorders in the microcirculatory channel. Local hemorheology was studied in 17 of 57 patients, negative arteriovenous difference in blood viscosity was found in 11 of them. Administration of hemocorrectors for removal of the postrevascularization edema was effective in 31 patients. Treatment proved ineffective in remaining patients, thrombosis of the shunt or desobliterated area of the artery occurred in all of them within 12 months after the operation.
ISSN:0023-1207