Jun 05th


Endovascular treatment of critical limb ischemia

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Nikishyn l. F.1, Palamarchuk V. I. 2, Nikishyn O. l.1, Vereschagyn S. V.3

1State Institution «Scientific-Practical Center of Endovascular Neuroroentgenosurgery Academy of Medical Sciences of Ukraine», Kiev, Ukraine

2Shupyk National Medical Academy of postgraduate education, Kiev, Ukraine

3Kyiv Regional Clinical Hospital, Kiev, Ukraine

Abstract. There has been provided a range of endovascular interventions within 23 patients suffering from Critical Limb Ischemia (CLI), including 15 cases of disease developed against the background of type 2 diabetes mellitus. There were 12 male and 9 female patients going through the treatment procedure. The average age of patients is 69 ± 4,7 years. 5 patients had been going through an intervention at femoropopliteal sector, 6 patients – at tibial arteries, while 9 patients – at both areas at the same time, 3 patients had been going through a mixed intervention at iliac and femoropopliteal sectors as well as at tibial arteries. All patients underwent balloon angioplasty, in 3 cases it has been supplemented by stenting at femoropopliteal sector, in other 3 cases – by stenting of general iliac artery. The endovascular intervention appeared to be helpful to 22 patients (95, 6 %), renewing bloodstream at the operated areas and arresting critical limb ischemia. In 1 case at postoperative period there has been fixed acute arterial syndrome at the operated area which led to an amputation at hip level. There has also been noticed perforation of the mouth of anterior tibial artery which did not have any clinical consequences. There have been no lethal outcomes at postoperative period.

Key-words: subintimal angioplasty, stenting, obliterating atherosclerosis, critical limb ischemia, diabetic angiopathy, diabetic foot.