title: [The choice of the revascularization method in the patients with critical ischemia of the lower extremities].
abstract: Immediate and remote results of surgical treatment of 407 patients, suffering the lower extremities tissues critical ischemia, were analyzed. In 223 patients (the first group) endovascular revascularization was performed, in 165 (the second group)--the open-access reconstructive operations, in 31 (the third group)--the combined or hybrid interventions. The immediate technical success of operations in all this groups was equal and up to 90%. The lower extremities high amputations and complications rate is trustworthy bigger after operative interventions, then after endovascular. The remote results, including the lower extremities preservation rate and survival indices, did not differ trustworthy in the groups. The reoperations rate in remote period for critical ischemia of the lower extremities recurrences is significantly bigger after endovascular interventions performance. Thus, endovascular and the open-access surgical procedures are equally effective in patients, suffering critical ischemia of the lower extremities, but, choosing the revascularization method, it is necessary to take into account the affection localization and spread, the certain venous conduit presence, as well as the risk and expected span of life.
authors.forename: O I
authors.initials: OI
authors.lastname: Pityk
authors.forename: V A
authors.initials: VA
authors.lastname: Prasol
authors.forename: V V
authors.initials: VV
authors.lastname: Boĭko
mesh_terms: D000800:Angioplasty, Balloon / Q000379:methods*; D016638:Critical Illness; D005260:Female; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000601:surgery*; D007866:Leg / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014463:Ultrasonography