Metabolic disorder and outcomes of reconstructive interventions in patients with peripheral arterial disease

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The purpose of this study was to assess the effect of metabolic disorders on the effects of revascularization in patients with obliterating atherosclerosis.

Materials and methods. The reconstruction was performed in 253 patients with femoral-tibial arterial segment lesion (98 — open operations, 116 — endovascular interventions and 39 patients were treated with hybrid technique).

Results. Endovascular revascularization techniques are justified in case of disorders of carbohydrate metabolism. Conventional operations remain the method of choice in the case of those variants of atherosclerotic lesions, where minimally invasive techniques are impossible.

Conclusions. Metabolic disorders in patients with peripheral atherosclerosis on the background of severe comorbid pathology may be the basis for choosing hybrid methods of revascularization.

作者简介

Nikolay Glushkov

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

Email: nikolay.glushkov@szgmu.ru

Doctor of Medicine Science, Professor, head of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov

俄罗斯联邦, 41, Kirochnaya street, Saint-Petersburg, 191015

Michael Ivanov

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

Email: iv30407302007@yandex.ru

Doctor of Medicine Science, Professor of General surgery of the North-Western state medical University. I. I. Mechnikov

俄罗斯联邦, 41, Kirochnaya street, Saint-Petersburg, 191015

Petr Puzdryak

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

Email: hirurg495@yandex.ru
ORCID iD: 0000-0003-2631-3622

Post-graduate student of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov

俄罗斯联邦, 41, Kirochnaya street, Saint-Petersburg, 191015

Kristina Samko

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

编辑信件的主要联系方式.
Email: krsamko2012@yandex.ru
ORCID iD: 0000-0002-4529-1388

student of the medical faculty of the North-Western state medical University. I. I. Mechnikov

俄罗斯联邦, 41, Kirochnaya street, Saint-Petersburg, 191015

Alina Isakova

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

Email: alinaisakova97@gmail.com
ORCID iD: 0000-0003-1113-6889

student of the medical faculty of the North-Western state medical University. I. I. Mechnikov

俄罗斯联邦, 41, Kirochnaya street, Saint-Petersburg, 191015

Anastasia Artemova

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

Email: anastasia_artemova@mail.ru

laboratory assistant  of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov

俄罗斯联邦, 41, Kirochnaya street, Saint-Petersburg, 191015

参考

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  9. Глушков Н.И., Иванов М.А., Артемова А.С., и др. Инфекция в сосудистой хирургии и метаболический синдром: совпадение или взаимосвязь? // Кардиология и сердечно-сосудистая хирургия. − 2017. − Т. 10. − № 1. − С. 56−61. [Glushkov NI, Ivanov MA, Artemova AS, et al. The infection in vascular surgery and metabolic syndrome: a coincidence or correlation? Cardiology & cardiovascular surgery. 2017;10(1):56-61. (In Russ.)]. https://doi.org/10.17116/kardio201710156-61.
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