pmjТихоокеанский медицинский журналPacific Medical Journal1609-1175TGMU10.34215/1609-1175-2021-2-57-60pmj-2198Research ArticleМЕТОДИКАMETHODSЭндоваскулярные вмешательства в лечении ишемии нижних конечностейEndovascular interventions in the treatment of lower limb ischemiahttps://orcid.org/0000-0003-0582-0262НикифороваА. В.NikiforovaA. V.

врач отделения рентгенхирургических методов диагностики и лечения

690078, г. Владивосток, ул. Садовая, 22

MD

22 Sadovaya St., Vladivostok, 690078, Russian Federation

nutanik1978@gmail.comПавловА. В.PavlovA. V.

заведующий отделением рентген-хирургических методов диагностики и лечения

690078, г. Владивосток, ул. Садовая, 22

MD

22 Sadovaya St., Vladivostok, 690078, Russian Federation

https://orcid.org/0000-0001-8127-0317БоровскийС. П.BorovskyS. P.

 д-р мед. наук, профессор Института хирургии, врач 

690002, г. Владивосток, пр-т Острякова, 2

690078, г. Владивосток, ул. Садовая, 22

 MD, PhD, professor; surgeon

2 Ostryakova Ave., Vladivostok, 690002, Russian Federation

sergbor1964@mail.ruВладивостокская клиническая больница № 1РоссияVladivostok Clinical Hospital No. 1Russian FederationВладивостокская клиническая больница № 1; Тихоокеанский государственный медицинский университетРоссияVladivostok Clinical Hospital No. 1; Pacific State Medical UniversityRussian Federation202121062021025760Copyright © Никифорова А.В., Павлов А.В., Боровский С.П., 20212021Никифорова А.В., Павлов А.В., Боровский С.П.Nikiforova A.V., Pavlov A.V., Borovsky S.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.tmj-vgmu.ru/jour/article/view/2198 Цель

 Цель: оценка промежуточных результатов ангиопластики и стентирования при атеросклеротическом поражении аорто-подвздошного и бедренно-подколенного сегментов артерий нижних конечностей.

Материал и методы

Материал и методы. Ретроспективно проанализированы результаты лечения 132 пациентов с обструктивными заболеваниями артерий нижних конечностей, которым выполнялись эндоваскулярные вмешательства (баллонная ангиопластика и стентирование).

Результаты

Результаты. Общее количество технически успешных операций достигло 92 % (119 случаев): при первой степени поражения – 97 %, при второй – 90,5 % и при третьей – 85,7 % (система градации GLASS). Проходимость сосудов через один и два года была сохранена у 86,2 и 73,5 % пациентов, повторные вмешательства потребовались в 7,8 и 15,7 % случаев, соответственно.

Заключение

Заключение. Эндоваскулярные вмешательства –  эффективный и безопасный метод лечения заболеваний  сосудов, приводящих к ишемии нижних конечностей.  

 Objective

 Objective: To estimate the intermediate results of the angioplasty and stenting in case of artetial sclerotic disease of the iliac vein and popliteal artery segments of the lower limbs.

Methods

Methods: Having analyzed treatment results of 132 patients having obstructive  lower arteries disease retrospectively. Patients had got endovascular  interventions (balloon angioplasty and stenting).

Results

Results: Overall number of the technically successful operations reached 92 % (119 cases): in case of first degree of lesion – 97 %, second degree – 90.5 %, third degree – 85.7 % (GLASS grading system). The vascular permeability was preserved after a year or two among 86.2 and 73.5 % of patients respectively.

Conclusions

Conclusions: Endovascular interventions are the effective and safe method to treat vascular diseases leading to the ischemia of the lower limbs. 

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The authors declare that there are no conflicts of interest present.