[Surgical policy in patients with diffuse arterial lesion of lower extremities]

In spite of the achievements of contemporary surgery the rate of unfavoutable outcomes of reconstructive operations is keeping on to be high. Early postoperative complications because of inadequate choice of method for surgical treatment mount to 25%. Classification of the lesions of arteries of lower limbs is developed with due regards to functional and angiographic data. Simultaneous stenotic total lesions of the aorta, iliac, femoral, popliteal and tibial arteries lesions were considered as diffuse ones. The kind of surgical intervention is such lesions was determined according to functional reserve of collateral blood flow of the lower extremity. In such cases reconstructions only of aorto-iliac segment or multilevel reconstruction is possible (two-stage or one-stage reconstruction). The operation of choice was one-stage reconstruction.