THE IMPORTANCE OF PREOPERATIVE ANGIOGRAPHY IN THE ELECTION OF TECHNOLOGY FOR ELIMINATION OF CRITICAL LIMB ISCHEMIA
The results of treatment of 403 patients with critical limb ischemia were evaluated. According to the preoperative angiography in all patients, prolonged atherosclerotic lesions of the arterial bed were detected. Among the patients, four groups were identified: patients underwent open (278), endovascular (51) revascularization, and 15 hybrid interventions. In 55 cases, re-vascularization was denied due to the lack of conditions for reconstruction. Positive results were found in 188, 45 and 12 cases respectively. Complications with open and hybrid interventions in the early postoperative period occurred in 20% of cases, and with endovascular - 10%. There were no lethal outcomes. Performing endovascular and hybrid reconstructions of the vascular bed in critical limb ischemia, based on preoperative angiography, can significantly reduce the incidence of intra- and postoperative complications in patients with multifocal atherosclerosis and opens up new opportunities in vascular surgery.