title: [The autovenous by-pass by distal arterial occlusion of lower limbs in patients with diabetes mellitus].
abstract: Results of the autovenous by-pass in situ by distal combined arterial occlusion of femoral-popliteal and ankle arterial segments were analyzed. The main group consisted of 43 patients with diabetes mellitus and lower limbs ischemia grade IV in 81,4%. The comparison group consisted of 77 patients without diabetes and critical lower limbs ischemia in 84,4%. The 30 days by-pass patency was 90,5% in diabetic patients; whereas in the absence of diabetes mellitus the patency rate was 89%. There were no significant difference between two groups within the 2 years following the operation. After 3 postoperative years patients with diabetes showed poorer results: cumulative by-pass patency was 45,4%, limb preservation rate was 58,7%, whereas the relevant rates in the control group were 49,6 and 87,9%, respectively. The hemodynamic features of the by-pass make it suitable for the patients with diabetes mellitus and arterial occlusion by the diabetic foot syndrome.
authors: O I
authors: OI
authors: Kolobova
authors: Iu G
authors: IuG
authors: Subbotin
authors: A V
authors: AV
authors: Kozlov
authors: D D
authors: DD
authors: Arzamastsev
mesh_terms: D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D017719:Diabetic Foot / Q000150:complications / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006083:Graft Occlusion, Vascular / Q000209:etiology; D006439:Hemodynamics; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D035002:Lower Extremity / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000473:pathology; D011184:Postoperative Period; D012039:Regional Blood Flow; D012720:Severity of Illness Index; D013995:Time; D014182:Transplantation, Autologous / Q000379:methods*; D016896:Treatment Outcome; D018616:Ultrasonography, Doppler, Duplex; D058017:Vascular Grafting / Q000009:adverse effects / Q000379:methods; D014654:Vascular Patency; D014680:Veins / Q000637:transplantation*