EA202000007A1 - METHOD FOR MULTIFOCAL SUBTOTAL TUNNEL DISOBLITERATION OF THE ILLIOPEMOROUS ARTERIAL SEGMENT - Google Patents

METHOD FOR MULTIFOCAL SUBTOTAL TUNNEL DISOBLITERATION OF THE ILLIOPEMOROUS ARTERIAL SEGMENT

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Publication number
EA202000007A1
EA202000007A1 EA202000007A EA202000007A EA202000007A1 EA 202000007 A1 EA202000007 A1 EA 202000007A1 EA 202000007 A EA202000007 A EA 202000007A EA 202000007 A EA202000007 A EA 202000007A EA 202000007 A1 EA202000007 A1 EA 202000007A1
Authority
EA
Eurasian Patent Office
Prior art keywords
multifocal
artery
segment
restoration
blood flow
Prior art date
Application number
EA202000007A
Other languages
Russian (ru)
Inventor
Владимир Петрович Василевский
Павел Александрович Горячев
Татьяна Игоревна Степашкина
Original Assignee
Владимир Петрович Василевский
Павел Александрович Горячев
Татьяна Игоревна Степашкина
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Владимир Петрович Василевский, Павел Александрович Горячев, Татьяна Игоревна Степашкина filed Critical Владимир Петрович Василевский
Priority to EA202000007A priority Critical patent/EA202000007A1/en
Publication of EA202000007A1 publication Critical patent/EA202000007A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Abstract

Изобретение относится к области медицины, а именно к сосудистой хирургии, и может быть использовано при лечении окклюзионно-стенотических заболеваний аорто-подвздошно-бедренного сегмента. Сущность изобретения заключается в осуществлении трансфеморального доступа в верхней трети бедра к общей бедренной артерии, удалении атеросклеротических бляшек, проверке восстановления центрального кровотока и закрытии артериотомного отверстия, при этом отличие состоит в том, что дополнительно выполняют внебрюшинный доступ к подвздошным артериям и терминальному отделу брюшной аорты на стороне поражения, под визуальным и тактильным контролем выполняют продольные мультифокальные короткие артериотомии длиной 2-2,5 см в количестве 3-4 на наружной и общей подвздошной артерии, а при необходимости и на бифуркации аорты, из которых выполняют удаление тромбов, интимы и атеросклеротических бляшек до неповреждённых наружных слоёв стенки артерии, после чего осуществляют дополнительную проверку восстановления центрального кровотока гидродинамической имитацией пульсации струи гепаринизированного раствора в сегменте дезоблитерации в анте- и ретроградном направлениях.The invention relates to medicine, namely to vascular surgery, and can be used in the treatment of occlusive-stenotic diseases of the aorto-ilio-femoral segment. The essence of the invention lies in the implementation of transfemoral access in the upper third of the thigh to the common femoral artery, removal of atherosclerotic plaques, verification of the restoration of central blood flow and closure of the arteriotomy opening, while the difference is that in addition, extraperitoneal access to the iliac arteries and the terminal abdominal aorta is performed on to the side of the lesion, under visual and tactile control, longitudinal multifocal short arteriotomies 2-2.5 cm long are performed in the amount of 3-4 on the external and common iliac artery, and, if necessary, on the aortic bifurcation, from which blood clots, intima and atherosclerotic plaques are removed to the intact outer layers of the artery wall, after which an additional check of the restoration of the central blood flow is carried out by hydrodynamic imitation of the pulsation of the stream of heparinized solution in the deobliteration segment in the ante- and retrograde directions.

EA202000007A 2019-10-14 2019-10-14 METHOD FOR MULTIFOCAL SUBTOTAL TUNNEL DISOBLITERATION OF THE ILLIOPEMOROUS ARTERIAL SEGMENT EA202000007A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
EA202000007A EA202000007A1 (en) 2019-10-14 2019-10-14 METHOD FOR MULTIFOCAL SUBTOTAL TUNNEL DISOBLITERATION OF THE ILLIOPEMOROUS ARTERIAL SEGMENT

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EA202000007A EA202000007A1 (en) 2019-10-14 2019-10-14 METHOD FOR MULTIFOCAL SUBTOTAL TUNNEL DISOBLITERATION OF THE ILLIOPEMOROUS ARTERIAL SEGMENT

Publications (1)

Publication Number Publication Date
EA202000007A1 true EA202000007A1 (en) 2021-04-30

Family

ID=75850747

Family Applications (1)

Application Number Title Priority Date Filing Date
EA202000007A EA202000007A1 (en) 2019-10-14 2019-10-14 METHOD FOR MULTIFOCAL SUBTOTAL TUNNEL DISOBLITERATION OF THE ILLIOPEMOROUS ARTERIAL SEGMENT

Country Status (1)

Country Link
EA (1) EA202000007A1 (en)

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