Abstract
Aim: to show the benefits of endovascular interventions in patients with a neuro-ischemic form of diabetic foot in the near and distant period.
Materials and methods. the study involved 84 patients having the popliteal-tibial arterial segment of the lower extremities stage III–IV according to Fontaine–Pokrovsky in combination with diabetes mellitus. Patients were divided into two groups, taking into account the surgical aid: the first group (n=45) underwent endovascular intervention, the second group (n=39) underwent shunting revascularization. The average age of patients in the first group is 68.9±7.5, and the second – 66.0±8.9 years. In both groups, men predominated. During the observation of patients, the clinical status in the early and late postoperative periods, the need for repeated reconstruction, small and large amputations, and the mortality rate in both groups were evaluated.
Results. For the entire observation period, limb support ability was maintained in 88.9% of patients of the first group and 61.5% of patients of the second group. The need for reoperation arose in 13 (28.9%) patients of the first group and 1 (2.7%) of the patient after open surgery.
Conclusion. Endovascular interventions should be considered as priority in patients with critical lower limb ischemia in combination with diabetes, taking into account the peculiarities of damage to the arteries of the lower extremities and concomitant pathology in this category of patients, as well as the advantages of these operations, and above all the possibility of repeated repetition.
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About the authors
- Aleksandr A. Polyantsev, Dr. Med. Sc., Professor, Head of Department, ORCID
- Denis V. Frolov, Dr. Med. Sc., Associate Professor, ORCID
- Diana V. Linchenko, Cand. Med. Sc., Associate Professor, ORCID
- Andrey A. Chernovolenko, Assistant of Department, ORCID
- Yuliya A. D’yachkova, Student, ORCID
- Artem D. Obukhov, Student, ORCID
- Maina N. Butaeva, Student,ORCID
