The prospects of revascularizationary procedures in patients with chronic limb-threatening ischemia

Authors

  • O. Ye. Kanikovskyi M. Pyrohov Vinnytsia National Medical University
  • S. V. Sander M. Pyrohov Vinnytsia National Medical University
  • S. V. Cheshenchuk M. Pyrohov Vinnytsia National Medical University
  • V. V. Mosondz M. Pyrohov Vinnytsia National Medical University
  • O. P. Fedzhaha M. Pyrohov Vinnytsia National Medical University
  • V. A. Rauckis M. Pyrohov Vinnytsia National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2020.1.10742

Keywords:

chronic ischemia, infrapopliteal lesions, revascularization

Abstract

The aim of the work: researching of prospects of revascularizationary and non-revascularizationary procedures in patients with chronic limb-threatening ischemia caused by significant infrapopliteal lesions.

Materials and Methods. We examined 121 patients with chronic limb-threatening ischemia. Physical, laboratory and biochemistry investigations, ultrasound scanning, arteriography were used. Balloon angioplasty of tibial arteries were performed in 27 patients. Forced intraarterial lavage and femoral/gluteal nerve blocks (4–7 manipulations) were performed in 50 patients. Reotropic pharmacotherapy was performed in 44 patients.

Results and Discussion. Efficiency of balloon angioplasty was 74.1 %. Patients with successful treatment had unextended stenosis (80 % versus 42.9 % in unsuccessful treatment), permeable foot’s arteries (100 % versus 42.9 %). They had diabetes or arterial hypertension stage ІІІ less often (25 % versus 85.7 %). Limb safety was 852 %. Amputation rate was 14.8 %. Efficiency of forced intraarterial lavage and femoral/gluteal nerve blocks was 52 %. Patients with successful treatment had extended stenosis (11.5 % versus 54.2 %), unpermeable foot arteries (3.9 % versus 70.8 %) and diabetes or arterial hypertension stage ІІІ (30.8 % versus 79.2 %) less often. Limb safety was 78 %. Amputation rate was 22 %. Unsuccessful result of forced intraarterial lavage and femoral/gluteal nerve blocks is additional indication for amputation. Efficiency of reotropic pharmacotherapy was 20.4 %. Patients with successful treatment had unextended stenosis (66.7 % versus 14.3 %), permeable arteries of the foot (100 % versus 31.4 %). They had diabetes or arterial hypertension stage ІІІ less often (44.4 % versus 74.3 %). Limb safety was 40.9 %. Amputation rate was 59.1 %.

References

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Published

2020-01-16

How to Cite

Kanikovskyi, O. Y., Sander, S. V., Cheshenchuk, S. V., Mosondz, V. V., Fedzhaha, O. P., & Rauckis, V. A. (2020). The prospects of revascularizationary procedures in patients with chronic limb-threatening ischemia. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 71–75. https://doi.org/10.11603/2414-4533.2020.1.10742

Issue

No. 1 (2020)

Section

EXPERIENCE OF WORK

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