[Endovascular correction of a multi-level arterial lesion in an elderly patient with lower-limb critical ischaemia]

Presented herein is a clinical case report showing possibilities of endovascular surgery in comprehensive treatment of a multi-level stenosing lesion in an elderly male patient presenting with pyo-necrotic alterations of the crus and foot. A 67-year-old male patient suffering from diabetes mellitus, lower-limb vessels atherosclerosis, critical ischaemia, indolent wound of the left foot following amputation of the toes was subjected to collaterally approached balloon-mediated angioplasty of critical stenoses of the left common iliac artery and deep femoral artery. During the operation, we used elements of coronary interventions technique. The wound healed completely. Two years after the operation, a good result persists, with the patient being capable of moving unassisted, completely serving himself, and the distance of pain-free walking amounts to more than 150 metres.