ROLE OF MINIMALLY INVASIVE INTERVENTIONS IN THE TREATMENT OF CRITICAL LOWER LIMB ISCHEMIA

Authors

  • Sh.I. Karimov Republican Center for Surgical Angioneurology, Academician of the Academy of Sciences of the Republic of Uzbekistan
  • A.A. Irnazarov Department of Faculty and Hospital Surgery-1 of the Tashkent Medical Academy
  • S.U. Rahmonov Angiography Department of the Multidisciplinary Clinic of the Tashkent Medical Academy
  • V.R. Khasanov Angiography Department of the Multidisciplinary Clinic of the Tashkent Medical Academy
  • Kh.A. Avlonazarov Department of Vascular Surgery of the Multidisciplinary Clinic of the Tashkent Medical Academy

Keywords:

critical ischemia of the lower extremities, endovascular interventions, hybrid operations

Abstract

Purpose of the study. Optimization of clinical results of treatment of patients with critical lower limb ischemia through the use of interventional technologies.

Material and methods. The analysis of the results of surgical treatment of 78 patients with critical ischemia of the lower extremities, who underwent endovascular and hybrid reconstructive interventions, was carried out.

Results. In the early postoperative period (up to 30 days), hemodynamic improvement was observed in almost all patients; on average, ABI in these patients increased from the initial 0.37 ± 0.2 to 0.78 ± 0.2 (t = 2.4. P <0.05). Disease progression, that is, critical ischemia was observed in 11 (18.6%) patients. At the same time, stroke developed in 2 (3.3%) patients, acute myocardial infarction in 2 (3.3%) patients, high amputations were performed in 6 (10.1%) patients. Mortality from stroke and myocardial infarction, in general, was 3.3%.

Conclusion. An adequate choice of the volume and stage of the intervention, as well as the widespread use of hybrid technologies, hemodynamically and clinically, gives the result no worse than open reconstructions, and the number of complications and deaths is much less.

Author Biographies

Sh.I. Karimov, Republican Center for Surgical Angioneurology, Academician of the Academy of Sciences of the Republic of Uzbekistan

Director of the Republican Center for Surgical Angioneurology, Academician of the Academy of Sciences of the Republic of Uzbekistan, Professor, Tashkent, Uzbekistan;

 

A.A. Irnazarov, Department of Faculty and Hospital Surgery-1 of the Tashkent Medical Academy

Doctor of Medical Sciences (D.Sc.), Professor of the Department of Faculty and Hospital Surgery-1 of the Tashkent Medical Academy, Tashkent, Uzbekistan;

 

S.U. Rahmonov, Angiography Department of the Multidisciplinary Clinic of the Tashkent Medical Academy

Candidate of Medical Sciences (PhD), Head of the Angiography Department of the Multidisciplinary Clinic of the Tashkent Medical Academy, Tashkent, Uzbekistan;

 

V.R. Khasanov, Angiography Department of the Multidisciplinary Clinic of the Tashkent Medical Academy

Candidate of Medical Sciences (PhD), Resident of the Angiography Department of the Multidisciplinary Clinic of the Tashkent Medical Academy, Tashkent, Uzbekistan;

 

Kh.A. Avlonazarov, Department of Vascular Surgery of the Multidisciplinary Clinic of the Tashkent Medical Academy

5Head of the Department of Vascular Surgery of the Multidisciplinary Clinic of the Tashkent Medical Academy, Tashkent, Uzbekistan.

 

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Published

2022-06-10

How to Cite

Karimov, S., Irnazarov, A., Rahmonov, S., Khasanov, V., & Avlonazarov, K. (2022). ROLE OF MINIMALLY INVASIVE INTERVENTIONS IN THE TREATMENT OF CRITICAL LOWER LIMB ISCHEMIA. JOURNAL OF EDUCATION AND SCIENTIFIC MEDICINE, 1(3), 12-15. Retrieved from https://mail.journals.tma.uz/index.php/jesm/article/view/314

Issue

Vol. 1 No. 3 (2022): JESM 2022 N3 (Vol.1)

Section

Articles