Temrezov Marat Borispievich (MD, Professor, Head of the Department of Cardiovascular Surgery, Head of the Department of Hospital Surgery with a course in Anesthesiology and Intensive Care
Russian State Medical Institution «Karachay-Cherkess Republican Clinical Hospital», Cherkessk, Karachay-Cherkess Republic, Russian Federation
«North Caucasus State Academy», Cherkessk, Karachay-Cherkess Republic, Russian Federation
)
Temerezov Taulan Khasanovich (The doctor is a cardiovascular surgeon, an assistant at the Department of Hospital Surgery with a course in anesthesiology and intensive care
Russian State Medical Institution «Karachay-Cherkess Republican Clinical Hospital», Cherkessk, Karachay-Cherkess Republic, Russian Federation
«North Caucasus State Academy», Cherkessk, Karachay-Cherkess Republic, Russian Federation
)
Badakhov Auznaur Uzeyerovich (Postgraduate student of the Department of Hospital Surgery with a course in Anesthesiology and
Intensive Care Medicine, North Caucasus State Academy, Cherkessk, Karachay-Cherkess Republic, Russian Federation
)
Dinaev Ramazan Alievich (X-ray surgeon of the Department of X-ray Surgical Methods of Diagnosis and Treatment, assistant of the Department of Hospital Surgery with a course in Anesthesiology and Intensive Care
Russian State Medical Institution «Karachay-Cherkess Republican Clinical Hospital», Cherkessk, Karachay-Cherkess Republic, Russian Federation
«North Caucasus State Academy», Cherkessk, Karachay-Cherkess Republic, Russian Federation
)
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The purpose of the study. Determination of methods to increase the effectiveness of endovascular treatments for obliterating atherosclerosis of the lower extremity arteries in patients with critical lower limb ischemia (KINK) and diabetes mellitus (DM).
Materials and methods. The results of endovascular correction of blood flow in 60 patients with KINK were analyzed. 70 endovascular procedures were performed.
Results. Arterial patency and restoration of arterial blood flow were achieved in all patients. After 1 month, such results were preserved in 95% of patients (n-57). The ankle-shoulder index increased significantly (to an average of 0.54), and the pressure measured by transcutaneous oximetry increased to 62.3. Six months later, blood flow in the reconstructed arteries was recorded in 86.6% of cases (n–52), and after another 6 months – in 79.9% of individuals. It was not possible to preserve a limb in three patients (gangrene as a result of occlusion at the tibial level). The mortality rate in the long-term period was 3.3%.
Conclusions. Based on the results of the study, it can be concluded that the use of endovascular procedures at the popliteal and tibial levels is successful in patients with KINK and diabetes mellitus.
Keywords:atherosclerosis, diabetes mellitus, critical lower limb ischemia, endovascular surgery
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Citation link:
Temrezov M. B., Temerezov T. K., Badakhov A. U., Dinaev R. A. EFFECTIVENESS OF ENDOVASCULAR SURGERY IN PATIENTS WITH DIABETES MELLITUS AND DISTAL ARTERIAL LESION OF THE LOWER EXTREMITIES // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2025. -№02/2. -С. 208-212 DOI 10.37882/2223-2966.2025.02-2.32 |
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