CHOICE OF TACTICS FOR SURGICAL TREATMENT OF PATIENTS WITH LESIONS OF ARTERIES THE FEMOROPOPLITEAL SEGMENT
https://doi.org/10.17238/issn2223-2427.2018.2.43-48
Abstract
Ummary: In all periods of development of vascular surgery, the problem of choosing the optimal method for surgical treatment of occlusal-stenotic lesions of the arteries of the lower extremities (OSPANK) has been and remains one of the most urgent.The most common occlusal-stenotic lesion of the arteries of the lower extremities, according to most modern sources, is the lesion of the femoropopliteal segment, which occurs in approximately 65% of cases. This pathology is more common among patients of the older age group (more than 60 years). According to the data of modern authors, the need for surgical treatment for atherosclerotic lesions of arteries of the lower extremities is about 600 people per 1 million population per year. At the same time, despite the dynamic development of reconstructive methods of treatment, approximately 500 patients per 1 million population a year perform an amputation of the lower limb. Characteristically, according to modern data, the five-year survival after amputation of the lower extremity for atherosclerotic arterial lesion in most cases does not exceed 54%, which can not be called a satisfactory result [6,7]
Keywords
эндоваскулярные вмешательства,
баллонная ангиопластика,
стентирование,
стенозириующий атеросклероз,
критическая ишемия ко- нечностей,
диабетическая ангиопатия,
endovascular interventions,
balloon angioplasty,
stenting,
stenosiruyuschy atherosclerosis,
critical limb ischemia,
diabetic angiopathy
About the Authors
SH. G. Magomedov
State hospital of the Republic of Dagestan
Russian Federation
Russian Federation
SH. R. Djurakulov
GKB them. DD Pletneva
Russian Federation
Russian Federation
References
1. Сумин А.Н. Распространенность мультифокального атеро- склероза в различных возрастных группах / А.Н. Сумин, Р.А. Гай- фулин, А.В. Безденежных, М.Г. Моськин, Е.В. Корок, А.В. Карпович, С.В. Иванов, О.Л. Барбараш, Л.С. Барбараш // Кардиология. - 2010. - Т. 52. - № 6. - С. 28-34
2. Muir R.L. Peripheral arterial desease: pathophysiology, risk factors, diagnosis, treatment, and prevention // J. Vasc. Nurs.- 2009. - Vol. 27. - № 2. - P. 26-30
3. Hirsch A., Criqui M., Treat-Jacobson D., Regensteiner J., et al. Peripheral arterial disease detection, awareness, and treatment in primary care // JAMA. 2001. - 286 (11). - Р. 1317-1324
4. Черненко В.Ф., Гончаренко А.Г., Шувалов А.Ю., и др. Потеря трудоспособности и динамика инвалидизации больных с поражени- ями сосудов конечностей // Ангиология и сосудистая хирургия. 2005. - Т. 11. - № 2. - С. 21-27
5. Dosluoglu H.H., Lall P., Cherr G.S. et al. Role of simple and com- plex hybrid revascularization procedures for symptomatic lower extremity occlusive disease // J. Vase Surg. 2010. - 51(6). - Р. 1425-1435
6. Antoniou G.A., Sfyroeras G.S., Karathanos C. et al. Hybrid endovas- cular and open treatment of severe multilevel lower extremity arterial dis- ease // Eur. J. Vase Endovasc. Surg. 2009. - Vol. 38(5). - Р. 616-622
7. Perera G.B., Lyden S.P. Current trends in lower extremity revascu- larization // Surg. Clin. North Am. - 2007. - Vol. 87. - № 5. - P.1135-1147
8. Бокерия Л.А. Рентгеноваскулярная хирургия заболеваний магистральных сосудов / Л.А. Бокерия, Б.Г. Алекян, М.М. Анри. - М.: НЦССХ им. А.Н. Бакулева РАМН, 2008. - С. 291-310
9. Gloviczki P. Vascular and endovascular surgeon: The vascular specialist for the 21th century and beyond // J. Vase. Surg., 2006. - 43. - Р. 412-421
Review
For citations:
Magomedov Sh.G., Djurakulov Sh.R. CHOICE OF TACTICS FOR SURGICAL TREATMENT OF PATIENTS WITH LESIONS OF ARTERIES THE FEMOROPOPLITEAL SEGMENT. Surgical practice (Russia). 2018;(2):43-48. (In Russ.) https://doi.org/10.17238/issn2223-2427.2018.2.43-48
Views:
392
Email this article 
