Novosti
Khirurgii
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indexed in Scopus



Year 2011 Vol. 19 No 3

GENERAL AND SPECIAL SURGERY

IGNATOVICH I.N.

PECULIARITIES OF ARTERIES LESIONS AND WAYS OF REVASCULARIZATION IN PATIENTS WITH NEUROISCHEMIC FORM OF DIABETIC FOOT

Objectives. To study the peculiarities of occlusive-stenotic arterial lesions influencing the character of revascularization in the patients with neuroischemic form of diabetic foot.
Methods. 106 patients with neuroischemic form of diabetic foot, who were treated in Minsk city center of diabetic foot, were investigated. For the arteries visualization contrast angiography was used in 82 cases (77,4%), CT- angiography was applied in 16 cases (15,1%), the combination of both methods was used in 8 cases (7,5%) .
Results. The vast majority of patients had distal occlusion with the lesions of three and two tibial arteries. When significant lesions of superficial femoral artery are absent, transluminal endovascular procedures can be performed. At critical stenosis of the superficial femoral artery one also has conditions for the endovascular plastics of at least one tibial artery to improve blood flow to the tissues of the foot. At the occlusion of the superficial femoral artery only in rare cases, there is at least one traversed tibia artery, which can provide a “flight path, this limits the number of shunt operations. In the research group of patients revascularization was performed in 46 (43,9%) patients.
Conclusion. The prospect of improving care to the patients with neuroischemic form of diabetic foot, the decrease of number of high amputations implicates further working out and introduction of the hybrid technologies of the limb revascularization as well as the adequate material-technical support of such interventions.

Keywords: diabetic foot, revascularization, artery
p. 70 – 76 of the original issue
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