On the terms to perform minor amputations for chronic critical lower limb ischaemia after successful vascular reconstruction

Vachev A.N., Chernovalov D.A., Mikhailov M.S.

Chair of Faculty Surgery Samara State Medical University, Samara, Russia

Assessed herein are the results of treating a total of 119 patients presenting with chronic critical ischaemia of the lower extremities accompanied by necrosis of distal portions of the foot. All patients underwent various successful operations of lower-limb revascularization, followed by evaluating the terms of healing of the wounds on the foot after necrectomy and minor amputations. A conclusion was made that after successful limb revascularization for critical ischaemia in patients with atherosclerosis accompanied by coagulative necrosis, performing minor amputations and necrectomies should be delayed.

KEY WORDS: chronic critical lower limb ischemia (CCLLI), revascularization, foot necrosis.

P. 131-137

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