Specific Cases of Urgent Vascular Surgery and Peculiar
Characteristics of Bypass Operations
Volume 2 - Issue 1
Drozdova EV*
Received: February 05, 2019; Published: February 15,2019
DOI: 10.32474/SCSOAJ.2019.02.000130
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Abstract
Until March 2018 the work with grafts for the hemodialysis
had not posed any complications. Prosthetic devices were removed
in connection with urgent suppurate processes or routinely, both
when thrombosed grafts existed as a heterogeneous body and
when they could prevent carrying out other arterio-venous fistulas.
But during only one month – April 2018 there were diagnosed
three cases of pulsating hematomas from arterio-venous grafts in
the shoulders. In all these cases patients needed surgery. I, myself,
performed 2 operations. In one case the patient was hospitalized
to another clinic. In the first event the artery and anastomosis
with a. braсhialis had a long linear rupture on the back side of the
artery. The artery and graft were singled out in both directions
from the zone of anastomosis and were taken on the holders. They
were clamped but the bleeding did not stop. The situation was
complicated by the anamnesis of the patient: there were numerous
thromboses of vessels, diabetes type I, polyfactor thrombophilia; so
we could not rely on the tourniquet for a long time, moreover the
ejection fraction was reduced significantly, and if we had to clamp
the artery for any long period then there could be only one way out
- the amputation.
Part I|
Part II: Throbbing Hematomas Emanating from
Femoral and Iliac Arteries|
Part III: Particular Specificites of Bypass Operations|
Conclusion|