CLINICAL CASES OF SURGICAL TREATMENT OF XENOPROSTHESES DEGENERATIONS IN OCCLUSION OF THE FEMORAL-POPLITEAL SEGMENT
Abstract
The number of reconstructive operations of the femoral-popliteal segment is growing every year; the most acceptable material for a shunt being autovein. However, in the absence of a suitable autovein, synthetic prostheses and xenografts are used, which leads to an increase in cases of degeneration of xenoprostheses. Degenerative changes are the most pressing problem when using xenografts.
The aim of the study is to analyze cases of degeneration of xenoprostheses.
Material and methods. The article presents two cases of surgical treatment of xenoprosthesis degeneration in the Department of Vascular Surgery of the Emergency Hospital, Ufa.
Results. Both clinical cases had one characteristic pattern – aneurysmal degeneration of the prosthesis occurred under the sartorius muscle. Other options for placement of the xenoprosthesis should be considered, for example, in the interfascial space between the sartorius fascia propria and the medial head of the muscle quadriceps femoris. Regular monitoring of patients after using xenografts is required for timely detection of their degeneration.
About the Authors
M. Sh. Kashaev
ГБУЗ РБ «Клиническая больница скорой медицинской помощи»;
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Russian Federation
Russian Federation
D. E. Emirova
ГБУЗ РБ «Клиническая больница скорой медицинской помощи»
Russian Federation
Russian Federation
References
1. Ivchenko AO, Shvedov AN, Ivchenko OA. Vascular prostheses in reconstructive surgery on main arteries of lower limbs. Byulleten’ sibirskoy meditsiny. 2017;16 (1):132-139. (in Russ) doi:10.20538/1682-0363-2017-1-132-139.
2. Twine C.P., McLain A.D. Graft type for femoro-popliteal bypass surgery. Cochrane Database Syst Rev. 2010 ;(5):CD001487. (in Engl) doi: 10.1002/14651858.CD001487.pub2, 2010.
3. Kashaev M.Sh., Yakupov A.R. Comparative assessment of the results of surgical treatment of patients with atherosclerotic arterial occlusion oh the femoropopliteal segment in the early postoperative period. Bashkortostan Medical Journal. 2018; 13(6 (78)): P. 69-72. (in Russ)
4. Ivchenko A.O., Shvedov A.N., Ivchenko O.A., Savelyev I.O. Use of bioprosthesis with external support by knitted nitinol mesh as a conduit in infrainguinal bypass surgery: randomized controlled trial. Acta Biomedica Scientifica. 2017;2(6):114-117. (In Russ.) https://doi.org/10.12737/article_5a0a8a77c92410.82422845
5. Pal'tsev, M.A. Biologiya stvolovykh kletok i kletochnye tekhnologii (Stem cell biology and cell technologies). Moscow: Meditsina, 2009: 24.
6. Tishchenko I. [et al.] Sravnitel'nyi analiz primeneniya ksenoprotezov i autovenoznykh shuntov pri distal'nykh rekonstruktsiyakh arterii nizhnikh konechnostei (Comparative analysis of the use of xenoprostheses and autovenous shunts in distal reconstructions of the arteries of the lower extremities). XXII Vserossiisii s''ezd serdechno-sosudistykh khirurgov 27-30 november 2016 [Electronic resource] URL: https://racvs.ru/events/archive/xxii_vserossiyskiy_sezd_serdechnososudistykh_khirurgov/sravnitelnyy_analiz_primeneniya_ksenoprotezov_i_autovenoznykh_shuntov_pri_distalnykh_rekoуonstruktsiya/ (access ate 24.12.2023)
Review
For citations:
Kashaev M.Sh., Emirova D.E. CLINICAL CASES OF SURGICAL TREATMENT OF XENOPROSTHESES DEGENERATIONS IN OCCLUSION OF THE FEMORAL-POPLITEAL SEGMENT. Bashkortostan Medical Journal. 2024;19(3):57-61. (In Russ.)
Views:
19
Email this article 
