Long-term results of critical limb ischemia treatment
The article presents the treatment results of 92 patients with critical limb ischemia for up to 12 months depending on the treatment strategy. In the 1 st group (72 patients) the revascularizing surgery was performed. In 42 cases open surgical operation were performed (29 - femoro-poplitea-tibial reconstructions, in 6 - aorto-femoral reconstructions and in 7 cases - «double-stage» reconstructions). In 30 cases roentgen-endovascular surgeries were performed (in 22 cases - reconstructions of crural arteries). The 2 nd group consisted of 20 patients who were not performed a reconstructive surgery for various reasons. One-year limb salvage was 95.8% in the 1 st group and 80.0% in the 2 nd group, the survival rates - 97.2 and 70.0% respectively. Critical ischemia as a result of revascularization was eliminated in 87.8% of patients, and after 6 months of observation trophic defects had only 4.2%. In the 2 nd group critical limb ischemia remained at a period of 12 months in 85.7% of patients.