Long-term results of profundoplasty in patients with atherosclerotic lesions of the arteries of the lower extremities depending on the state of the distal bed
https://doi.org/10.51523/2708-6011.2023-20-3-06
Abstract
Objective. To evaluate the effectiveness of profundoplasty in patients with atherosclerotic lesions of the arteries of the lower extremities, depending on the state of the distal bed.
Materials and methods. A retrospective analysis of 50 medical records and a survey of patients were carried out. The patients were divided into two groups: the first group (n=32) — patients with a satisfactory distal bed (without occlusion of the popliteal artery (PCA) and the presence of at least one tibial artery), the second group (n=18) — patients with occlusion of the PCA and / or tibial arteries. The results of the study were processed using applied statistics methods using MS Excel and the software package for statistical analysis “Statistica v. 8.0”. Differences were considered statistically significant at p < 0.05.
Results. The vast majority of patients who underwent profundoplasty were patients with critical lower extremities’ ischemia (F = 0.026; p<0.05). Among patients with occlusion of the popliteal segment, the lower limb was saved during the first year in 44 % of cases. Among patients with a satisfactory distal bed during the year, the limb was saved in 84 % of cases.
Conclusion. The state of the distal bed has a significant impact on the result of profundoplasty in the late postoperative period (p=0.008). Patients with peripheral arterial disease in the postoperative period have low compliance with ongoing conservative therapy and modification of risk factors (p>0.05).
About the Authors
J. K. Kulikovich
Gomel State Medical University
Belarus
Belarus
Julia K. Kulikovich, Assistant of the Department of Surgical Diseases №1 with a course of Cardiovascular Surgery
Gomel
A. A. Lyzikov
Addenbrooke’s Hospital in Cambridge University Hospital
United Kingdom
United Kingdom
Alexei A. Lyzikov, Doctor of Medical Sciences, Professor, Senior Vascular Surgeon
Cambridge
M. L. Kaplan
Gomel State Medical University
Belarus
Belarus
Mark L. Kaplan, Candidate of Medical Sciences, Associate Professor, Head of the Department of Surgical Diseases №1 with a course of Cardiovascular Surgery
Gomel
A. A. Kovalenko
Gomel Regional Clinical Cardiology Center
Belarus
Belarus
Artem A. Kovalenko, Angiosurgeon at the Department of Vascular Surgery
Gomel
V. V. Usiankova
Gomel City Clinical Hospital N 4
Belarus
Belarus
Valeryia V. Usiankova, Surgeon of the Surgical Department
Gomel
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Review
For citations:
Kulikovich J.K., Lyzikov A.A., Kaplan M.L., Kovalenko A.A., Usiankova V.V. Long-term results of profundoplasty in patients with atherosclerotic lesions of the arteries of the lower extremities depending on the state of the distal bed. Health and Ecology Issues. 2023;20(3):46-52. (In Russ.) https://doi.org/10.51523/2708-6011.2023-20-3-06
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