Yanushko V.A.1, Klimchuk I.P.2, Mshar S.V.3, Kordzakhia G.E.2, Rogovoy N.A.2
Short-term results of endovascular treatment for obliterating atherosclerosis of the lower extremities arteries in patients over 70 years of age
1Republican Research Center «Cardiology», Minsk, Republic of Belarus
2The 4th City Clinical Hospital named after N.E. Savchenko, Minsk, Republic of Belarus
3Brest Regional Clinical Hospital, Brest, Republic of Belarus
Vestnik VGMU. 2021;20(2):38-44.
Objectives. To analyze short-term results of endovascular treatment for obliterating atherosclerosis of the lower extremities arteries in patients over 70 years of age.
Material and methods. From 2015 to 2019, 75 lower limbs were revascularized in 72 patients. Their mean age was 74.7±4.51 years. There were 67 (93%) patients with ischemia of the 3rd – the 4th degree according to Fontaine-Pokrovsky classification. Revascularization of the iliac segment was performed in 35 (48.6%) patients, of the iliofemoral segment – in 5 (7%), the femoral-popliteal segment – in 24 (33.4%), the tibial segment – in 8 (11%) patients.
Results. Technical success was attained in 97.2% of cases. The limb preservation was achieved in 100% of cases. Thrombosis of the revascularized artery developed in 2 (2.7%) cases (it was repaired endovascularly). Two patients (2.77%) died of acute cardiac failure.
Conclusions. Our study has shown good early results of endovascular treatment for obliterating atherosclerosis of the lower limbs arteries in patients over 70 years of age. High amputations were avoided in 100% of cases. However, an assessment of long-term results is required.
Key words: atherosclerosis, angioplasty, stenting, revascularization, comorbidity.
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Information about authors:
Yanushko V.A. – Doctor of Medical Sciences, professor, chief researcher of the Laboratory of Vascular Surgery, RSPC «Cardiology»;
Klimchuk I.P. – Candidate of Medical Sciences, vascular surgeon, head of the department of vascular surgery, the 4th City Clinical Hospital named after N.E. Savchenko;
Mshar S.V. – vascular surgeon of the angiographic room, Brest Regional Clinical Hospital;
Kordzakhia G.E. – vascular surgeon of the department of vascular surgery, the 4th City Clinical Hospital named after N.E. Savchenko;
Rogovoy N.A. – Candidate of Medical Sciences, vascular surgeon of the department of vascular surgery, the 4th City Clinical Hospital named after N.E. Savchenko.