[Recent advances in vascular surgery].

Abstract

In the recent years, the vascular reconstructions are being performed regularly in patients with chronic arterial occlusion, while no remarkable advances are observed in cases with acute arterial deterioration. The poor results of the vascular surgeries for the acute arterial occlusion are mainly due to myonephropathic metabolic syndrome (MNMS). The thrombectomy which is performed by Fogarty's balloon catheter is the simplest technique and found to be useful in patients suffering from thromboembolism. But it should be applied carefully to avoid vascular injury. The surgical techniques have been remarkably improved especially in the area of tibial bypass surgery and endovascular surgery. The former has been achieved by tourniquet occlusion technique and the later by angioplasty with a metal stent.