Criteria for effective endovascular angioplasty of multi-level atherosclerotic process in tibial arterial segment

Authors

  • I. K. Venger Horbachevsky Ternopil National Medical University
  • M. P. Orlov Horbachevsky Ternopil National Medical University
  • S. Y. Kostiv Horbachevsky Ternopil National Medical University
  • B. P. Selskyy Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2023.2.13987

Keywords:

endovascular angioplasty, revascularization, atherosclerosis, ankle segment

Abstract

The aim of the work: to direct research on the improvement of endovascular angioplasty of the main arterial bed of the lower limbs and to establish the criteria of its effectiveness.

Materials and Methods. 73 patients, 69 (94.52 %) men and 4 (5.48 %) women with an average age of (62.91±6.43) years were subject to examination and surgical treatment. In order to determine the criteria of effective endovascular angioplasty in patients, modern methods of ultrasound sonography, computer tomography and angiography, as well as transcutaneous oxymetry methods were used.

Results and Discussion. Analysis of the results obtained in patients who, in the two-level endovascular revascularization of the femoral-distal arterial segment, endovascular angioplasty of two tibial arteries was performed, the rate of the intradermal blood flow (IBW) were increased both with transcutaneous oxygen voltage (TOV). It was established that the IBW indicator depended on the level of chronic arterial insufficiency (CAI) stage. At the same time, no noticeable difference from the combination of revascularized tibial arteries was not revealed. It is established that the IBW indicator after revascularization regardless of the level of clinics. CAI, increased more intensively than IBW in the preoperative period and should be emphasized that this is more noticeable when determining the IBW in the IV m/finger gap.

 Increasing the IBW and TOV level in I and IV between/finger gaps of the foot skin indicates a positive result of endovascular revascularization of multi-level stenotic-lesion of the femoral-distal arterial bed as with endovascular angioplasty of one and two arteries.

Endovascular angioplasty of the stenotic-occlusive process of two tibial arteries, regardless of the clinics level. CAI contributes to a significantly higher and uniform increase in the IBW and TOV level on the foot compared to endovascular angioplasty of the stenotic-occlusive process of tibial arteries.

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Published

2023-07-25

How to Cite

Venger, I. K., Orlov, M. P., Kostiv, S. Y., & Selskyy, B. P. (2023). Criteria for effective endovascular angioplasty of multi-level atherosclerotic process in tibial arterial segment. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 10–15. https://doi.org/10.11603/2414-4533.2023.2.13987

Issue

No. 2 (2023)

Section

ORIGINAL INVESTIGATIONS

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