COMPREHENSIVE ASSESSMENT OF THE TREATMENT AND PREVENTION OF THE ARTERY TO ASSESS THE SPECIFICITY OF THE VIOLATION OF THE PERMEABILITY OF THE LEGS

Abstract

Acute lower leg ischemia syndrome (acute arterial obstruction) remains one of the most difficult problems in vascular surgery. To date, the etiology, pathogenesis, clinical picture of the disease have been studied, issues of surgical tactics have been developed depending

on the degree of ischemia of the limbs. In 36-40% of cases, embolism and thrombosis develop against the background of atherosclerosis. and stenosis, in most cases, requires thromboembolectomy. In practice, this logical requirement is not always met. Primary arterial reconstruction is carried out only in 5-7%. There are several reasons for this. First, the severity of the general condition of the majority of patients and their old age. Therefore, the criterion of "minimum volume - efficiency" in emergency vascular surgery is still the main principle of choosing a surgical intervention. The consequence of this is an insufficient number of surgical interventions, which leads to the development of thrombotic reocclusion in 28-41% of patients with embolism and gangrene of the limbs in 5-24% and in 28.3%-41.9% of patients. Secondly, in the arsenal of modern angiosurgery there are a number of operations for the treatment of acute ischemia syndrome of the lower limbs.