Total revascularization of the lower limb in a patient with multifocal atherosclerosis and critical ischaemia

Charyshkin A.L.¹, Maksin A.A.², Zaripov L.R.², Yashkov M.V.^1,2, Matveeva L.V.¹, Poseryaev A.V.^1,2

1) Institute of Medicine, Ecology and Physical Culture, Ulyanovsk State University,
2) Ulyanovsk Regional Hospital, Ulyanovsk, Russia

Described in the article is a clinical case report regarding revascularization of the entire arterial bed of the lower extremity in a male patient presenting with multifocal atherosclerosis, stenoses of the arteries of the iliofemoral segment, occlusions of the superficial femoral artery, popliteal artery and arteries of the crus. Clinically, the patient was diagnosed as having critical ischaemia of the lower limb with wet necrosis of the toes.

The patient simultaneously underwent semiclosed loop endarterectomy from the arteries of the femoropopliteal segment with the help of the Vollmar rings, autovenous popliteal-tibial prosthetic repair, as well as exarticulation of the toes.

KEY WORDS: multifocal atherosclerosis, lower limb critical ischaemia, total revascularization, endarterectomy.

P. 181

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