Results of cylinder angioplastics in patients with critical ischemia of the lower extremities and damage of the arteries of the infraingual segment of type B and C (TASCII)
Abstract
The results of treatment of 123 patients with performed angioplasty of arteries of the type B and C infraringinal segment (TASCII) are presented. Cylinders without drug coating were used, stent implantation was not performed. The main (group 1) — 63 patients with critical lower limb ischemia, the control (group 2) — 60 patients with intermittent claudication. Long-term results were evaluated in 59 (47.9%) periods ranging from 6 to 42 months (average 24.3±9.4 months). The patency of reconstructed arteries, the frequency of restenoses, amputations in the period from 6 to 42 months were evaluated: 20 (57.1%), 5 (14.3%), 3 (8.6%) in the main group and 13 (54.2%), 9 (37.5%), 1 (4.2%) in the control. Mortality among patients with critical ischemia was 7 (20%), in patients with grade IIB ischemia — 1 (4.2%). The revealed differences between the groups when studying outcomes in the long-term period were statistically unreliable (p>0.05). This issue requires further study and even more careful attitude to decision-making on the need and method of limb revascularization in patients with a clinic of intermittent claudication.
About the Authors
A. Yu. Leshchinskaya
Ural State Medical University;
City Clinical Hospital № 40
Russian Federation
Russian Federation
Yekaterinburg
S. A. Chernyad'yev
Ural State Medical University
Russian Federation
Russian Federation
Yekaterinburg
S. A. Chukin
City Clinical Hospital № 40
Russian Federation
Russian Federation
Yekaterinburg
Ye. N. Vokhmyakov
City Clinical Hospital № 40
Russian Federation
Russian Federation
Yekaterinburg
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For citations:
Leshchinskaya A.Yu., Chernyad'yev S.A., Chukin S.A., Vokhmyakov Ye.N. Results of cylinder angioplastics in patients with critical ischemia of the lower extremities and damage of the arteries of the infraingual segment of type B and C (TASCII). Title in english. 2019;14(3):19-23. (In Russ.)
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