On the question of determining a necessity to use conduits of biological origin in reconstructive surgical interventions in acute arterial insufficiency

Abstract

Objective: to determine a necessity to use grafts of biological origin in patients with acute arterial insufficiency.Material and methods. A retrospective analysis of 212 medical records of patients with acute arterial insufficiency of the lower limbs undergoing in-patient treatment at the Vascular Surgery Ward of the institution «Gomel Regional Clinical Cardiology Center» from 2007 to 2019 has been carried out. Statistical processing of the study results has been performed using GoogleSheet, Statskingdom. Differences between groups were considered to be statistically significant at p < 0.05.Results. Surgical interventions were performed on the arteries of the lower limbs in 22.4 % of patients having acute thrombosis in their medical history. In 97.1 % of the cases, repeated surgery was required on the arteries of the same lower limb. Autologous veins were used as conduits in 26.3 % of the cases, and synthetic explants were used in 73.7 % of the patients. Among the total number of surgeries, autologous materials were used as plastic material in 40 % of bypasses, and synthetic explants were used in 60 % of the cases.Conclusion. The study has shown the necessity to use materials of biological origin as plastic material for the treatment of acute arterial insufficiency.