Influence of the metabolic syndrome on the results of the reconstructions in patients with infrainguinal artery disease

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Abstract

Summary. The aim of the study was to compare open and endovascular interventions in patients with infrainguinal arterial disease (IAD) against a metabolic syndrome (MS).

Materials and methods. The treatment results of 73 patients with IAD on MS background were studied. Patients were divided into two groups: 48 patients made up the basic group, they underwent endovascular interventions; 25 patients entered the control group they underwent open operations. The value of bed-day, the tissues oxygenation degree, the trophic disorders dynamics were analyzed. The hospital stay of patients in the main group was less than of patients with open surgery. The dynamics of elimination of trophic disorders is more pronounced in patients of the main group.

Conclusion. Endovascular interventions have a number of advantages over open operations in the treatment of IAD patients against the metabolic syndrome: in relation to the number of so-called. “Large” complications, shunt interventions look less preferable.

About the authors

Nikolay I. Glushkov

North-Western State Medical University named after I.I. Mechnikov

Email: anastasia_artemova@mail.ru
ORCID iD: 0000-0001-8146-4728

Doctor of Medical Sciences, Professor, Head of the Department of General Surgery

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Michael A. Ivanov

North-Western State Medical University named after I.I. Mechnikov

Email: iv30407302007@yandex.ru
ORCID iD: 0000-0002-4756-6488

Doctor of Medical Sciences, Professor

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Artur Yu. Apresyan

North-Western State Medical University named after I.I. Mechnikov

Email: anastasia_artemova@mail.ru

Head of the Department of Vascular Surgery

Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Petr D. Puzdryak

North-Western State Medical University named after I.I. Mechnikov

Email: anastasia_artemova@mail.ru

graduate student of the Department of General Surgery
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

Anastasia S. Artemova

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: anastasia_artemova@mail.ru
ORCID iD: 0000-0001-6325-433X
Russian Federation, 41, Kirochnaya street, Saint-Petersburg, 191015

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Supplementary files

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2. Fig. 1. Duration of hospitalization of patients in clinical groups. EV — endovascular surgery, OO — open surgery (р < 0.05)

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3. Fig. 2. Duration of surgical intervention. EV — endovascular surgery, OO — open surgery (р < 0.05)

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4. Fig. 3. Oxygenation of tissues at the level of the foot before and after the operation

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Copyright (c) 2018 Glushkov N.I., Ivanov M.A., Apresyan A.Y., Puzdryak P.D., Artemova A.S.

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This work is licensed under a Creative Commons Attribution 4.0 International License.

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