THE LONG-TERM PREDICTION OF ATHEROSCLEROSIS OF THE AORTOFEMORAL SEGMENT IN PATIENTS WHO WERE NOT PROVIDED RECONSTRUCTIVE OPERATION

A.V. Maksimov, S.V. Viktorova
Department of Vascular Surgery, Republican Clinical Hospital №1,
Republic of Tatarstan Ministry of Public Health,
Kazan, Russia

The present work deals with the 10-year follow up of 225 patients presenting with Leriche's syndrome. The patients suffered from not less than stage IIb chronic arterial insufficiency of the lower limbs and did not undergo reconstruction. The study was made of the factors influencing disease prediction.

The 5- and 10-year survival of patients without critical lower limb ischemia (CLLI) accounted for 55.0±7.9% and 20.5±8.4%. In patients with CLLI, it constituted 41.5±7.2% and 18.7±7.5%. After primary amputation only 5% of patients had survived toward the 5th follow up year. The presence of coronary artery disease worsened prediction. In patients without CLLI, the limb could be saved toward the 5th follow up year in 81.7±6.9% of cases, toward the 10th year in 78.3±6.9% of cases: in patients with CLLI, in 59.8±6.9% and 56.8±6.9% of cases respectively. The given indicator is significantly lower in patients with occlusion of the femoropopliteal segment. Adequate conservative therapy was carried out only in 30.5% of patients.

KEY WORDS: atherosclerosis of the aortofemoral segment, survival, limb salvage, prediction.

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