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A case of successful recanalization and stenting of the superficialfemoral artery and tibial arteries in critical lower limb ischemia

Authors: V.S. Arakelyan, N.A. Chigogidze, V.G. Papitashvili, V.L. Khon, A.Yu. Musalov

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

Type:  Brief Reports


DOI: https://doi.org/10.24022/0236-2791-2018-60-4-331-336

For citation: Arakelyan V.S., Chigogidze N.A., Papitashvili V.G., Khon V.L., Musalov A.Yu. A case of successful recanalization and stenting of the superficial femoral artery and tibial arteries in critical lower limb ischemia. Russian Journal of Thoracic and Cardiovascular Surgery. 2018; 60 (4): 331–6 (in Russ.). DOI: 10.24022/0236-2791-2018-60-4-331-336

Received / Accepted:  21.03.2018/27.03.2018

Keywords: аtherosclerosis critical limb ischemia femoropopliteal bypass. balloon below-the-knee angioplasty peripheral vascular disease

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Abstract

The article shows a multi-stage process of treating critical lower limb ischemia with multilevel, extended stenosis and lower limb arteries occlusions. The interest of this clinical case is that initially open operations were performed because of the impossibility of endovascular treatment. However, with the bypass and tibial arteries thrombosis, an attempt to recanalize the lower limb arteries with subsequent stenting was successful. After the endovascular treatment, the moist gangrene of the foot was stopped, the supporting and motor function of the lower limb was restored, and the patient's quality of life improved. Also, the authors demonstrate the effectiveness of combined antiplatelet and anticoagulant therapy. Simultaneous administration of rivaroxaban and acetylsalicylic acid, in comparison with a single intake of aspirin, improves the long-term functionality of the bypass and recanalized arteries.

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About Authors

  • Valeriy S. Arakelyan, Dr. Med. Sc., Professor, Head of Department, orcid.org/0000-0002-0284-6793;
  • Nikolay A. Chigogidze, Cand. Med. Sc., Head of Department, orcid.org/0000-0002-2399-8059;
  • Vasiliy G. Papitashvili, Cand. Med. Sc., Leading Researcher, orcid.org/0000-0001-9987-5410;
  • Vladislav L. Khon, Postgraduate, orcid.org/0000-0003-1865-4726;
  • Abdulgamid Yu. Musalov, Researcher, orcid.org/0000-0002-0960-2732

Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery


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