Combined subintimal and intraluminal angioplasty in the treatment of critical limb ischemia

  • Authors: Kaputin MY.1,2,3, Ovcharenko OV1,2,3, Platonov SA1,2,3, Soroka VV1,2,3, Sidorov VN1,2,3, Bagnenko SF1,2,3, Dudanov IP1,2,3
  • Affiliations:
    1. Djanelidze Research Institute of Emergency Care, St. Petersburg
    2. Karelian Scientific Medical Center of RAMS
    3. Petrozavodsk State University
  • Issue: Vol 9, No 4 (2009)
  • Pages: 87-95
  • Section: Articles
  • URL: https://journals.eco-vector.com/MAJ/article/view/9401
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Abstract


The objective of this study was to develop a new approach in the endovascular treatment of critical limb ischemia based on the combined use of subintimal and intraluminal angioplasty methods. Patients with critical limb ischemia were considered suitable candidates for angioplasty if they did not show irreversible changes of the limb that would require amputation at the shin or thigh level. Between 2004 and 2008, 139 endovascular interventions were carried out in 126 patients. The procedure was technically successful in 90.5% of cases. Such a high frequency of success was achieved due to the use of standards for endovascular treatment. The frequency of major complications did not exceed 7%. The probability of absence of critical limb ischemia recurrence within one year amounted to 65%. A significant part of the patients were regarded as «unsuitable» for surgical treatment due to severe concomitant pathology, "unsatisfactory" state of the distal circulation or the presence of infection on the foot. This, together with the low life expectancy of the patients, shows the obvious advantages of combined subintimal and intraluminal angioplasty over surgical revascularization as a method of critical limb ischemia treatment.

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About the authors

M Yu Kaputin

Djanelidze Research Institute of Emergency Care, St. Petersburg; Karelian Scientific Medical Center of RAMS; Petrozavodsk State University

O V Ovcharenko

Djanelidze Research Institute of Emergency Care, St. Petersburg; Karelian Scientific Medical Center of RAMS; Petrozavodsk State University

S A Platonov

Djanelidze Research Institute of Emergency Care, St. Petersburg; Karelian Scientific Medical Center of RAMS; Petrozavodsk State University

V V Soroka

Djanelidze Research Institute of Emergency Care, St. Petersburg; Karelian Scientific Medical Center of RAMS; Petrozavodsk State University

V N Sidorov

Djanelidze Research Institute of Emergency Care, St. Petersburg; Karelian Scientific Medical Center of RAMS; Petrozavodsk State University

S F Bagnenko

Djanelidze Research Institute of Emergency Care, St. Petersburg; Karelian Scientific Medical Center of RAMS; Petrozavodsk State University

I P Dudanov

Djanelidze Research Institute of Emergency Care, St. Petersburg; Karelian Scientific Medical Center of RAMS; Petrozavodsk State University

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Copyright (c) 2009 Kaputin M.Y., Ovcharenko O.V., Platonov S.A., Soroka V.V., Sidorov V.N., Bagnenko S.F., Dudanov I.P.

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