[The combined treatment of patients with atherosclerosis of the distal arterial bed of the lower extremities].
The authors summarize the experience of treatment of 178 patients with distal type of obliterated atherosclerosis of arteries of lower limbs. The 2nd stage of this malady was diagnosed in 91 (51.1%) patients; the 3rd stage--in 50 (28.1%); the 4th stage--in 37 (20.8%). 79 (44.4%) patients have received only conservative method of treatment, in 66 (37.1%) patients this method was accompanied by lumbar sympathectomy. Reconstructive operations with connection of one of the shin arteries to bloodstream were conducted in 33 (18.5%) patients. With the aim of improvement of distal artery channel visualization it is necessary to apply the digital subtraction angiography with the help of non-ionic roentgen-contrast preparations after the advanced application of spasmolytics.
E P
EP
Kokhan
G E
GE
Mitroshin
V V
VV
Marchik
D000368:Aged; D000671:Amputation, Surgical; D015901:Angiography, Digital Subtraction; D001162:Arteriosclerosis Obliterans / Q000000981:diagnostic imaging / Q000628:therapy*; D003131:Combined Modality Therapy; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D013562:Sympathectomy
Kompleksnoe lechenie bol'nykh s aterosklerozom distal'nogo arterial'nogo rusla nizhnikh konechnosteĭ.