Endovascular approach in treatment of critical ischemia of lowel limbs

DOI: https://doi.org/10.25512/DIR.2016.10.2.05

For quoting:
Papoyan S.A., Shchegolev A.A., Kvitsaridze B.A., Mutayev M.M., Krasnikov A.P., Sazonov M.Y., Gavrilenko A.V. "Endovascular approach in treatment of critical ischemia of lowel limbs". Journal Diagnostic & interventional radiology. 2016; 10(2); 48-54.

authors:

Papoyan S.A.

Shchegolev A.A.

Kvitsaridze B.A.

Mutayev M.M.

Krasnikov A.P.

Sazonov M.Y.

Gavrilenko A.V.

keywords:

endovascular treatment of aorto-iliac segment

critical lower limb ischemia

stenting of arteries

occlusion of artery

Abstract:

This study was aimed to show effectiveness of endovascular procedures in patients with critical lower limb ischemia (CLI), caused by lesions of iliac and femoral-popliteal-tibial segment's of arteries.

Materials and methods: study includes results of treatment of 68 patients, who underwent endovascular procedures.

Results: primary technical success in group with A, B, C TASC II aortoiliac lesions was 100%, with D TASC II aortoiliac lesions was 91,7%. In group with infrainguinal lesions overall primary technical success was 91,9%. Regression of ischemia was marked in all patients. The average growth of the ankle-brachial index (ABI) was 0,3. During one year of follow-up period, 3 major amputations were performed (5,8% of follow-up patients) in group of interventions of shin arteries with one recanalized tibial artery Salvation of lower limbs was 94,2% without CLI signs reccurence.

Conclusion: endovascular interventions are effective, minimally invasive treatment for CLI. Endovascular procedures such as angioplasty with or without stenting showld be seen as a treatment of choise in patients with CLI for limb salvage.

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