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STUDY OF THE EFFECT OF THE TIME FACTOR BETWEEN THE STAGES OF HYBRID AND STAGED SURGERY ON THE ARTERIES OF THE LOWER EXTREMITIES USING THE METHOD OF ULTRAVIOLET PHOTOLUMINESCENCE SPECTROSCOPY

Vaganov A. G.  (Candidate of Medical Sciences, surgeon; City Clinical Hospital № 29 named after N.E. Bauman, Moscow )

Nochnoy M. S.  (Resident doctor of the Department of Hospital Surgery; N.V. Sklifosovsky Institute of Clinical Medicine, I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University), Moscow )

Lisitsky D. A.  (Doctor of Medical Sciences, cardiovascular surgeon; City Clinical Hospital № 29 named after N.E. Bauman, Moscow )

Abrahamyan A. V.  (Candidate of Medical Sciences, senior researcher at the Department of Vascular Surgery; Petrovsky National Research Center of Surgery, Moscow)

Gavrilenko A. V.  (Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Head of the Department of Vascular Surgery; Petrovsky National Research Center of Surgery, Moscow )

This article is devoted to the comparative effectiveness of performing the second stage of hybrid surgery on the arteries of the lower extremities at different time intervals using the photoluminescent spectroscopy method, which determines the degree of functional consistency of the "outflow pathways". The study involved 40 people suffering from KINK, operated on in the volume of hybrid or step-by-step reconstruction in the Department of Vascular Surgery of the State Clinical Hospital No. 29. As a result of the study, it was revealed that the proposed method is sensitive both for assessing the main blood flow in the operated limb and in determining the degree of ischemic tissue damage. Thus, after performing the endovascular stage of revascularization, a dynamic assessment of the luminescent glow intensity is necessary to determine the need and time for the open stage.

Keywords:chronic limb threatening ischemia, hybrid operations, ultraviolet photoluminescence spectroscopy

 

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Citation link:
Vaganov A. G., Nochnoy M. S., Lisitsky D. A., Abrahamyan A. V., Gavrilenko A. V. STUDY OF THE EFFECT OF THE TIME FACTOR BETWEEN THE STAGES OF HYBRID AND STAGED SURGERY ON THE ARTERIES OF THE LOWER EXTREMITIES USING THE METHOD OF ULTRAVIOLET PHOTOLUMINESCENCE SPECTROSCOPY // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№04. -С. 161-167 DOI 10.37882/2223-2966.2024.04.04
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