Stagewise treatment of a patient with multifocal atherosclerosis, critical limb ischaemia, and surgical infection

Svetlikov A.V.^1,2, Karev A.V. ^1,4, Melnikov M.V.³, Galkin P.A.¹

1) Vascular Surgery Department of Clinical Hospital No 122 named after L.G. Sokolov under the Federal Biomedical Agency of the Russian Federation,
2) Chair of Cardiovascular Surgery of the St. Petersburg North-Western State Medical University named after I.I. Mechnikov,
3) Chair of General Surgery of the St. Petersburg North-Western State Medical University named after I.I. Mechnikov,
4) Leningrad Regional Clinical Hospital, St. Petersburg, Russia

The authors share herein their experience in successful treatment of a male patient with multifocal atherosclerosis and lower-limb critical ischaemia complicated by erysipelas.

The aim of the work: to show not only efficacy of iloprost (Ilomedin) used as conservative treatment in patients presenting with critical ischaemia and surgical infection in both pre- and postoperative periods in order to save the limb, but also the possibility of postponing reconstructive intervention, improving the patient’s quality of life during this period, as well as shortening the duration of the postoperative period, and also to demonstrate both immediate outcomes of endovascular repair of an abdominal aortic aneurysm and remote results of comprehensive treatment for disseminated multifocal atherosclerosis with severe accompanying pathology.

KEY WORDS: multifocal atherosclerosis, iloprost (Ilomedin), abdominal aortic aneurysm, endovascular repair of abdominal aortic aneurysm.

P. 164

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