Intraoperative hemodynamic monitoring of peripheral circulation in surgical decision making in lower extremity arterial disease
https://doi.org/10.51523/2708-6011.2020-17-4-7
Abstract
Objective: to evaluate the results of correction of lower extremity arterial disease using invasive intraoperative hemodynamic monitoring of peripheral circulation and to assess the influence of this method on selection of surgical tactics.
Material and methods. The outcomes of revascularization were compared in patients of two comparable groups: the patients of the first group had undergone interventions under intraoperative hemodynamic monitoring of peripheral circulation in addition to angiography, and for the patients of the second group a decision about the extent of correction had been made on the basis of angiography without intrapeorational functional evaluation.
Results. The application of the above method made it possible to decrease the length of the performed reconstructions: 90 mm (80; 125) in the first group vs. 70 mm (112.5; 247.5) (p = 0.018) in the second group with a comparable satisfactory outcome. The postoperative ABI values after the interventions in the first and second groups amounted to 0.86 (0.78; 1) and 0.8 (0.7; 0.86), respectively, which was associated with a favorable clinical prognosis in these patients.
Conclusion. The use of invasive intraoperative hemodynamic monitoring makes it possible to decrease the extent of reconstructions in multisegment lesions with the achievement of a satisfactory clinical outcome.
About the Authors
S. Yu. Gorokhovsky
Gomel State Medical University; Gomel Regional Clinical Cardiology Center
Belarus
Belarus
Sergei Yu. Gorokhovsky — Applicant at the Department of Surgical Diseases No.1 with the course of Cardiovascular Surgery EI «Gomel State Medical University», roentgen-endovascular surgeon (Head) at the Interventional Radiology Ward of the institution «Gomel Regional Clinical Cardiology Center»
A. A. Lyzikov
Gomel State Medical University
Belarus
Belarus
Alexei A. Lyzikov — Head of the Department of Surgery No.1 with the course of Cardiovascular Surgery, Doctor of Medical Science, Professor, EI «Gomel State Medical University»
M. L. Kaplan
Gomel State Medical University
Belarus
Belarus
Mark L. Kaplan — Associate Professor at the Department of Surgery No.1 with the course of Cardiovascular Surgery, Candidate of Medical Science, Associate Professor (PhD), EI «Gomel State Medical University»
V. E. Tihmanovich
Gomel State Medical University
Belarus
Belarus
Victor E. Tihmanovich — Assistant Lecturer at the Department of Surgery No.1 with the course of Cardiovascular Surgery, EI «Gomel State Medical University»
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Review
For citations:
Gorokhovsky S.Yu., Lyzikov A.A., Kaplan M.L., Tihmanovich V.E. Intraoperative hemodynamic monitoring of peripheral circulation in surgical decision making in lower extremity arterial disease. Health and Ecology Issues. 2020;(4):66–72. (In Russ.) https://doi.org/10.51523/2708-6011.2020-17-4-7
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