title: [Ways to enhance the efficacy of treating patients with the terminal stage of arterial ischemia of the lower extremities].
abstract: Experience with treatment of 410 patients with obliterating diseases of lower extremities arteries with the terminal stage of ischemia and occlusions of the femoro-popliteal segment have shown that successful results of small amputations can be obtained but against the background of complex treatment based on a thorough and comprehensive examination of the patient, and aimed at the recovery of adequate blood supply of distal parts of the extremity by operations of direct and indirect revascularization, normalization of microcirculation and struggle against infection. It allows performing amputation distal to the knee joint in 79.5% of cases, and to reduce the amount of postoperative complications in 38.8% of cases.
authors.forename: L V
authors.initials: LV
authors.lastname: Lebedev
authors.forename: D N
authors.initials: DN
authors.lastname: Afonin
mesh_terms: D000328:Adult; D000368:Aged; D000527:Alprostadil; D001158:Arteries; D001162:Arteriosclerosis Obliterans / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D002908:Chronic Disease; D003131:Combined Modality Therapy; D004692:Endarteritis / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D014656:Vascular Surgical Procedures / Q000379:methods; D014665:Vasodilator Agents / Q000627:therapeutic use
chemical_list: D014665:Vasodilator Agents; D000527:Alprostadil
vernacular_title: Puti povysheniia éffektivnosti lecheniia bol'nykh s terminal'noĭ stadieĭ arterial'noĭ ishemii nizhnikh konechnosteĭ.