ALTERNATIVE MODES SURGICAL TACTIS OF THE CHRONIC CRITICAL ISHEMIA LIMBS
The chronic critical ischemia of the main arteries of extremities (an obliterating atherosclerosis, a diabetes, trombangiitis) remains to one of the most difficult and actual problems of vascular surgery, especially at defeat low an arterial channel when it is impossible to execute direct arterial reconstructive operation. The study was aimed at retrospectively assessing the estimation of results of performance of operations arterial-venous shunting veins of extremities at patients with a chronic critical ischemia of extremities at corcing low an arterial channel. The results of examination and treatment of 1254 patients a chronic critical ischemia of extremities. In branch of vascular surgery for the ten years’ period operation arterial-venous shunting veins of extremities to 17 patients is executed. For arterial-venous shunting the superficial venous network of foot at 16 patients has been used and to 1 patient is executed arterial-venous shunting superficial venous system of a brush. The basic clinical criteria of efficiency of operation was preservation of a functioning extremity, increase in distance passed by the patient without a pain, healing ulcers, absence of a pain in rest. Supervision terms have made till 5 years. At absence low an arterial channel, operation – arterial-venous shunting extremity veins allows to lower quantity of amputations and is a method 
 of a choice for surgical treatment of a critical ischemia of extremities.