[The hybrid operations for the critical ischemia of the lower extremities]

In the work there was adduced the analysis of the examination and treatment results in 35 patients, suffering occlusion-stenotic affections of the lower extremities arteries, in whom reconstruction-restoration operations were joined with endovascular interventions, performed simultaneously or in two stages. Complex clinic-instrumental examination of patients have included ultrasound duplex scanning and dopplerography, roentgencontrast angiography, multispiral computeric tomography with intravenous contrast, radionuclide angiography permitting to substantiate the surgical tactics algorithm. In early postoperative period up to one year of follow-up in 28 (80%) patients good and satisfactory results were observed, also preservation of the open reconstruction zone in 25 (71.4%) and of the endovascular reconstruction zone in 28 (80%) patients were registered accordingly. In two patients, suffering the balloon angioplasty site reocclusion, the stenting was accomplished with the main vessels blood flow restoration. In 5 (14.3%) patients after performance of transcutaneous transluminal balloon angioplasty a progress of atherosclerotic affection of the shin arteries was observed through one year, leading to high amputation of the lower extremity. Thus, due to application of the hybrid technologies during one year of follow-up there was saved the support capacity of the extremity in 30 (85.7%) patients.