The five-year results of reconstructive surgery for critical lower limb ischemia.

This paper analyzes the immediate and long-term (5-year), results of 251 reconstructive operations accomplished for critical lower limb ischemia in 240 patients (stage III chronic arterial insufficiency was present in 135 and stage IV in 105 patients), with introduction of the unified criteria. The outcomes were compared in patients who had undergone revascularization above the Poupart's ligament -- 149 cases (100 cases of proximal reconstruction and 49 of two-level reconstruction) and beneath the Poupart's ligament (102 cases) as dependent on the stage and character of reattachment of the limb peripheral system. The study of the changes in the patients' status, the shifts in hemodynamics, the cumulative bypass patency and limb salvage has revealed the great priority of the choice of two-level reconstructions in patients with multilevel occlusions in stage IV chronic limb arterial insufficiency.

[Arteropathy as late-onset complication of radiotherapy for malignant tumor].

Such late-onset complications of radiotherapy as stenosis and occlusion of major arteries within fields of irradiation, designated in this paper as "post-radiation arteropathy", have not received sufficient scrutiny. The study group of 50 patients (1964-2003) included 35 females and 15 males, aged 33-77, (mean age--59 years). Total focal dose ranged 24-74.

The clinical diagnosis of cranial nerve injuries at operations on the carotid arteries.

Operation on the carotid arteries (CA) prevent strokes in patients with occlusions and stenoses of these arteries. We have worked out the measures for preventing perioperative strokes. During interventions on the CA, iatrogenic injuries to the cranial nerves (CN) are paid little attention.