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[In-hospital outcomes of reconstructive interventions on the aortofemoral segment in patients with multifocal atherosclerosis].
The purpose of the study was to analyse the in-hospital results of surgical treatment in a total of 275 patients presenting with atherosclerotic occlusive and stenotic lesions of the aortofemoral segment within the framework of a single-centre prospective register. The authors performed a detailed analysis of prognostic significance of a wide spectrum of clinico-instrumental, anatomo-angiographic and perioperative factors, followed by revealing the causes of an unfavourable prognosis during the in-hospital period. Based on the obtained findings, they determined significant risk factors for an unfavourable outcome: clinicodemographic (chronic renal insufficiency, grade IV chronic lower limb ischaemia) and surgical (cross-clamping of the aorta for more than 30 min). A high frequency rate of preventive coronary revascularization appeared to have become a protective mechanism making it possible to prevent the development of myocardial infarction in the studied cohort of patients.
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