REOPERATIVE CARE OF MICROCIRCULATION IN PATIENTSWITH LOWER LIMB ARTERIOSCLEROSIS OBLITERANS

M.R. Kuznetsov, V.M. Koshkin, A.V. Karalkin, B.V. Boldin, S.V. Rodionov, N.A. Sergeeva, E.B. Petukhov, P.Yu. Golosnitsky
Department of Faculty Surgery, Russian State Medical University,
Moscow, Russia

The paper analyses diagnosis and treatment outcomes for 20 men aged from 55 to 76 with lower limb arteriosclerosis obliterans. Based on exhaustive laboratory and instrumental diagnostic data the authors conclude that 10-days course of Vazaprostan (20 mkg per day) for patients with lib stage of chronic lower limb arterial insufficiency yields not only improvement in tissue metabolism, but a reduction of peripheral vascular resistance as well. Thus such therapy can be used for preoperative care before reconstructive vascular interventions in order to reduce the risk of implant thrombosis in early postoperative period.

KEY WORDS: arteriosclerosis obliterans, chronic lower limb arterial insufficiency, microcirculation, preoperative care, Vazaprostan.

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