A.V. MAKSIMOV^1,2, E.A. GAYSINA¹, D.I. SITDIKOVA^1,2, R.M. NURETDINOV¹

¹Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 420064

²Kazan State Medical Academy, 36 Butlerov Str., Kazan, Russian Federation, 420012

Maksimov A.V. ― D. Med. Sc., Head of the Department of Vascular Surgery №1, Associate Professor of the Department of Cardiology, Endovascular and Cardiovascular Surgery, tel. +7-917-877-16-65, e-mail: maks.av@mail.ru

Gaysina E.A. ― vascular surgeon of the Department of Vascular Surgery №1, tel. +7-905-039-51-74, e-mail: kalbas77@yandex.ru

Sitdikova D.I. ― Surgeon of the Department of Vascular Surgery №1, tel. +7-937-618-65-11, e-mail: d.i.sitdikova@yandex.ru

Nuretdinov R.M. ― Vascular Surgeon of the Department of Vascular Surgery №1, tel. +7-927-407-19-02, e-mail: rifkat21@mail.ru

The article presents the treatment results of 92 patients with critical limb ischemia for up to 12 months depending on the treatment strategy. In the 1^st group (72 patients) the revascularizing surgery was performed. In 42 cases open surgical operation were performed (29 ― femoro-poplitea-tibial reconstructions, in 6 ― aorto-femoral reconstructions and in 7 cases ― «double-stage» reconstructions). In 30 cases roentgen-endovascular surgeries were performed (in 22 cases ― reconstructions of crural arteries). The 2^nd group consisted of 20 patients who were not performed a reconstructive surgery for various reasons. One-year limb salvage was 95.8% in the 1^st group and 80.0% in the 2^nd group, the survival rates ― 97.2 and 70.0% respectively. Critical ischemia as a result of revascularization was eliminated in 87.8% of patients, and after 6 months of observation trophic defects had only 4.2%. In the 2^nd group critical limb ischemia remained at a period of 12 months in 85.7% of patients.

Key words: critical limb ischemia, revascularization.

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