FEATURES OF PERIPHERAL ATHEROSCLEROSIS IN PATIENTS WITH METABOLIC SYNDROME
Objective. The purpose of the study was to assess and prevalence of peripheral arterial diseases (PAD) in patients with metabolic syndrome (MetS). Material and methods of study. We screened 84 patients scheduled for lower occlusive arterial revascularization for the presence of MetS. For the diagnosis of MetS we used the recommendations of the International Diabetes Association (IDF, 2005). All patients before surgery in order to clarify the nature of the atherosclerotic lesions of lower limb arteries was performed digital angiography. For convenience of interpretation of the results isolated a number of segments of the primary lesion of ath- erosclerotic process: A (aorto-iliac), B (infraingvinaly artery above the knee slit) and C (crural artery). The results of the study. MetS was diagnosed in 45 (53,6%) patients with peripheral atherosclerosis (study group), the group comparison includes 39 (46,4%) patients without MetS. Primary localization of atherosclerosis in patients with MetS are the arteries below the inguinal ligament, as well as multi-level characteristic lesion (90,8%) and diﬀuse atherosclerotic changes of legs arteries. Conclusion. The features of peripheral athero- sclerosis in patients with MetS is prevalent atherosclerotic process, with the predominant type of lesion distal arteries.