Journal «Angiology and Vascular Surgery» • 

2008 • VOLUME 14 • №3


Shipovsky V.N., Zolkin V.N., Magomedov Sh.G., Maksimov N.V.
Chair of Surgical Diseases of Paediatric Department Russian State Medical University Clinical Hospital №57,
Moscow, Russia

The work was based on the results of studying the potential ability and outcomes of endovascular interventions (balloon angioplasty, stenting) in treatment of patients presenting with occlusive and stenotic lesions of the arteries of the popliteal-tibial segment at the stage of chronic ischaemia of lower limbs, in whom surgical reconstruction was impossible due to the type of the lesion or severity of concomitant pathology. The study was carried out in one hundred and four patients. On a total of 108 extremities involved, we carried out 174 endovascular interventions, including 29 stenting procedures and 145 balloon angioplasties. The following parameters were studied: dynamics of the clinical status, indices of the peripheral blood flow, immediate technical outcome, limb salvage rate, as well as short- and long-term (up to 2 years) patients' survival. It was proved that endovascular treatment of patients presenting with lesions of arteries of the popliteal-tibial segment is an efficient therapeutic method to relieve chronic ischaemia of lower extremities. For patients suffering from critical ischaemia of the lower limbs and diabetic angiopathy, this technique is sometimes the only method of surgical correction of the disordered blood flow. This method makes it possible not only to save the limb involved but also to improve the patient's quality of life.

KEY WORDS: chronic ischaemia of lower limbs, infrapopliteal-tibial segment, endovascular interventions.

P. 45-52

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