ORGANIZATION OF SPECIALIZED MEDICAL CARE RENDERED TO PATIENTS WITH ACUTE ARTERIAL OBSTRUCTION

Aim. To improve the direct and long-term results of treatment of patients with acute arterial obstruction by means of rational organization of medical care. Materials and methods. Retrospective analysis of the activity of vascular surgery unit in relation to rendering the first aid to patients with diseases and injuries of magistral vessels for the last 29 years was carried out. At the first stage of this work (from 1984 to 1993), 946 patients were operated for acute arterial obstruction. During the second period, (from 1994 to 2012), 2054 operations for acute arterial obstruction were performed. Results. At the first stage of this work, we gave preference to the principle of removing a patient “by ourselves” for rendering assistance to patients with urgent diseases and vascular injuries. Out of all urgently operated patients only one third was operated “at departure” and only 30,9% of patients were rendered specialized aid during the first 12 hours. For the purpose of solving the problem, that is, reduction of the terms of rendering specialized aid to patients with urgent pathology and vascular injury, the system of organizing assistance to this category of patients was revised. The number of operated patients reaches 80,4% when angiosurgeon is rendering medical care at the hospital where a patient is staying for 12 hours. Blood flow is restored in 80,1% of patients. Conclusion. Specialized assistance should be maximally brought nearer to patients with urgent vascular pathology and reduced in time. The optimal method for rendering an urgent angiosurgical aid consists in creation of specialized emergency teams of constant readiness in collaboration with Territorial Center of Catastrophe Medicine.

Acute arterial obstruction, thrombosis, embolia