The results autovenous grafting

Excellent and good results for the next period is registered by 21 people, shunt thrombosis without compromising circulation distal was observed in 3. In the long term thrombosis sewn arteriovenous shunt diagnosed in 10 observations, but in none of the cases required amputation of the leg.

The main cause of thrombosis of the operated artery segment or sewn arteriovenous shunt — atherosclerosis progression with involvement in the pathological process of arterial segments above and below the place of operation.

Autovenous plastic for injuries of the arteries was performed in 30 patients and its consequences — in 16. The most difficult type of injury were gunshot injuries that were diagnosed in 11 people. A characteristic feature of these types of injuries was extensive destruction of the soft tissues, and the combination of vascular injury and bone.

All gunshot wounds were infected, however, despite the obvious signs of infection in the wound after application of autovenous grafting we had no cases of arrosim anastomoses. More favorable prognosis observed in stab wounds (20). Arterial or arteriovenous aneurysm formed in 11 patients and post-traumatic occlusion — 4.

In terms 6-12 hours after the injury Department for cardiovascular surgery of the operated 5 people out in the districts — 6, in later period of 12-48 hours in the conditions of the district hospitals of the assistance provided to 8 patients on a specialized branch — 12 people. To restore the integrity of arterial highways only in 6 cases used parts of veins of shoulder or forearm. The main material in most served as the great saphenous vein of the thigh.

Anastomoses imposed blanket stitch by hand and only in one case has applied the hardware seam. In cases of late recovery of pulsating blood flow surgery was finished decompression subcutaneous fasciotomy. In the accompanying damage the main veins of the fragments of the great saphenous vein used for their recovery in 7 patients.

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