[Indications and choice of method of treatment of the lower extremities obliterating arterial atherosclerosis in elderly and senile patients with diabetes mellitus].
Results of treatment of 93 patients with diabetes mellitus and occlusive-stenotic affection of arteries of femoro-popliteal and popliteal-tibial segments were analyzed. Indications for performance of operation were established, basing on analysis of clinical manifestations of the disease and results of instrumental methods of investigation. Femoro-popliteal autovenous shunting performed in 47 (50.5%) patients, endarterectomy from the same segment--in 26 (28%), roentgenoendovascular dilatation of segments of femoral superficial and popliteal arteries--in 11 (11.8%), popliteal-tibial autovenous shunting--in 9 (9.7%). In 84 (90.4%) of patients succeeded to preserve the extremity. Postoperative lethality was 4.3%. Passability of autovenous femoro-popliteal-tibial shunts during 5 years was noted in 49.5%, passability of arteries after endarterectomy--in 38.7% of observations.
Sukharev
I I
II
Guch
A A
AA
Nikul'nikov
P I
PI
Bytsaĭ
A N
AN
Vlaĭkov
G G
GG
D000368:Aged; D000369:Aged, 80 and over; D001162:Arteriosclerosis Obliterans / Q000150:complications* / Q000503:physiopathology / Q000601:surgery*; D003251:Constriction, Pathologic / Q000503:physiopathology; D048909:Diabetes Complications; D017719:Diabetic Foot / Q000209:etiology*; D005260:Female; D005263:Femoral Artery / Q000503:physiopathology; D005528:Foot / Q000098:blood supply; D006801:Humans; D008297:Male; D011150:Popliteal Artery / Q000503:physiopathology; D012720:Severity of Illness Index; D013514:Surgical Procedures, Operative / Q000379:methods*; D016909:Tibial Arteries / Q000503:physiopathology