Indications and choice of method of treatment of the lower extremities obliterating arterial atherosclerosis in elderly and senile patients with diabetes mellitus

• Published in: Klinična hìrurgìâ (Kiïv) no. 8; p. 47
• Main Authors: Sukharev, I I, Guch, A A, Nikul'nikov, P I, Bytsaĭ, A N, Vlaĭkov, G G
• Format: Journal Article
• Language: Russian
• Published: Ukraine 01.08.2001
• Subjects: Aged; Aged, 80 and over; Arteriosclerosis Obliterans - complications; Arteriosclerosis Obliterans - physiopathology; Arteriosclerosis Obliterans - surgery; Constriction, Pathologic - physiopathology; Diabetes Complications; Diabetic Foot - etiology; Female; Femoral Artery - physiopathology; Foot - blood supply; Humans; Male; Popliteal Artery - physiopathology; Severity of Illness Index; Surgical Procedures, Operative - methods; Tibial Arteries - physiopathology
• ISSN: 0023-2130

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.