CLINICAL RESULTS OF BALLOON ANGIOPLASTY IN PATIENTS WITH ISCHEMIC AND NEUROISCHEMIC FORM OF DIABETIC FOOT SYNDROME
Objective. To evaluate the results of balloon angioplasty in patients with ischemic and neuroischemic forms of diabetic foot syndrome. Methods. A total of 41 patients with diabetes mellitus complicated by purulent-necrotic process of the lower extremities were studied. Two groups were identified: control (20 people) and main (21 people). In the main group, the patients underwent balloon angioplasty, and in the control group, traditional treatment (antibiotics, vasodilators, anticoagulants, hypoglycemic agents) was carried out. In addition to the general clinical examination, Doppler ultrasound, duplex ultrasound scanning, and transcutaneous oximetry were performed. Before and after angioplasty, angiography of the vessels of the lower extremities was performed to identify the level of damage to the great vessels and to evaluate the performance of balloon angioplasty. The immediate and long-term results were studied. The patients were examined 1 month later, 6 months later, 1-2 years after surgery for 2 years. Results. In the immediate period after balloon angioplasty, the patients felt satisfactory, wound healing was faster. In the main group, in the long-term period, 2 patients had a recurrent ulcer with a purulent-necrotic process, 2 patients had a violation of the popliteal artery patency, they underwent repeated balloon angioplasty. In the control group, complications were noted in 7 patients: 2 of them had amputation at the hip level after a year, 4 - recurrent ulcers, and 1 patient had necrosis of the toes (exarticulation of the toes). Long-term results of both groups from 1 month to 2 years were studied. Up to 1 month, 40 patients were examined, up to 6 months. - 37, up to 1 year- 35 and up to 2 years - 34 patients. Conclusions. The method allows to reduce the frequency of high amputations of the lower limb and to eliminate the purulent-necrotic process, improve the blood supply to the soft tissues of the lower leg and the condition of patients. After angioplasty, it is necessary to continue complex treatment, observation and examination.