Gender peculiarities of critical lower limb ischemia
- Authors: Glushkov N.I.1, Puzdriak P.D.1, Agurbash A.N.1, Razepin A.V.1, Ivanov M.A.1
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Affiliations:
- North-Western State Medical University named after I.I. Mechnikov
- Issue: Vol 13, No 4 (2021)
- Pages: 47-52
- Section: Original research
- URL: https://journals.rcsi.science/vszgmu/article/view/97149
- DOI: https://doi.org/10.17816/mechnikov97149
- ID: 97149
Cite item
Abstract
BACKGROUND: Development of critical ischemia of lower limbs in patients with atherosclerosis causes negative consequences due to the high probability of detecting multilevel changes, as well as identifying coronary and carotid pools.
АIM: The aim of the study was to investigate gender differences in critical lower limb ischemia of atherosclerotic genesis following reconstructive interventions.
MATERIALS AND METHODS: Arterial reconstructions have been performed in 261 patients with peripheral atherosclerosis (95 women and 166 men). The specific features of reconstructive interventions have been taken into account; complications and the number of amputations have been analyzed in the early period.
RESULTS: Higher pulse pressure has been registered in the female group; tibial arteries have been affected significantly more frequently (p < 0,05). Thrombosis of the operated segment has been observed more frequently in the male patients at the stage of critical ischemia; in the case of claudication the complications were sporadic.
CONCLUSIONS: The best results of reconstructive care in men and women with peripheral atherosclerosis at the claudication stage determine the vector of active tactics in the absence of conservative treatment results.
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##article.viewOnOriginalSite##About the authors
Nikolay I. Glushkov
North-Western State Medical University named after I.I. Mechnikov
Email: nikolay.glushkov@szgmu.ru
ORCID iD: 0000-0001-8146-4728
MD, Dr. Sci. (Med.), Professor
Russian Federation, 47 Piskarevsky Ave., Saint Petersburg, 195067Petr D. Puzdriak
North-Western State Medical University named after I.I. Mechnikov
Email: hirurg495@yandex.ru
ORCID iD: 0000-0003-2631-3622
Scopus Author ID: 57194489779
ResearcherId: K-9787-2016
MDRussian Federation, 47 Piskarevsky Ave., Saint Petersburg, 195067
Anastasia N. Agurbash
North-Western State Medical University named after I.I. Mechnikov
Email: nastaagurbash@mail.ru
ORCID iD: 0000-0003-1247-3481
Russian Federation, 47 Piskarevsky Ave., Saint Petersburg, 195067
Anatoly V. Razepin
North-Western State Medical University named after I.I. Mechnikov
Email: razepint@rambler.ru
ORCID iD: 0000-0003-0470-4681
Russian Federation, 47 Piskarevsky Ave., Saint Petersburg, 195067
Mikhail A. Ivanov
North-Western State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: iv30407302007@yandex.ru
ORCID iD: 0000-0002-4756-6488
MD, Dr. Sci. (Med.), Professor
Russian Federation, 47 Piskarevsky Ave., Saint Petersburg, 195067References
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