I.P. Pavlov Russian Medical Biological HeraldI.P. Pavlov Russian Medical Biological HeraldРоссийский медико-биологический вестник имени академика И.П. Павлова0204-34752500-2546Eco-Vector10732410.17816/PAVLOVJ107324ReviewНаучные обзорыReview ArticleEndovascular Recanalization Methods in Treatment of Chronic Lower Limb Ischemia: Modern State of ProblemЭндоваскулярные методы реканализации в лечении хронической ишемии нижних конечностей: современное состояние проблемыhttps://orcid.org/0000-0002-3889-368X5152-0785GaibovAlidzhon Dzh.ГаибовАлиджон Джураевич
Tajikistan

MD, Dr. Sci (Med.), Professor

д.м.н., профессор, член-корреспондент Национальной академии наук Таджикистана

gaibov_a.d@mail.ruhttps://orcid.org/0000-0001-7602-76112408-9107NematzodaOkildzhonНеъматзодаОкилджон
Tajikistan

MD, Cand. Sci (Med)

к.м.н.

rncssh@mail.ruhttps://orcid.org/0000-0003-2691-4065RakhmonovDzhamshed K.РахмоновДжамшед Каримович
Tajikistan
amnmztj@gmail.comhttps://orcid.org/0000-0003-0397-3118DavlatovRustam K.ДавлатовРустам Камбарович
Tajikistan
okil.sadriev@mail.ruhttps://orcid.org/0000-0001-6784-22438623-8897KalmykovEgan L.KalmykovEgan L.
Germany

MD, Dr. Sci (Med.)

д.м.н.

egan0428@mail.ruRepublican Scientific Center for Cardiovascular SurgeryРеспубликанский научный центр сердечно-сосудистой хирургииAvicenna Tajik State Medical UniversityТаджикский государственный медицинский университетClinic for Vascular and Endovascular Surgery160720233123053161005202229082022Copyright ©; 2023, Eco-VectorCopyright ©; 2023, Эко-ВекторCopyright ©; 2023,2023Eco-VectorЭко-Векторhttps://eco-vector.com/for_authors.php#07https://journals.eco-vector.com/pavlovj/article/view/107324

INTRODUCTION: The problem of treatment of patients with chronic lower limb ischemia (CLLI) remains extremely important to date. This is first of all due to increase in the number of patients with chronic obliterating diseases of peripheral arteries, which hold one of the leading positions in the structure of morbidity and disability of the population over 60 years. The progression of the disease with development of critical CLLI leads to amputation of the limb within five years in a third of patients. The first line therapy for CLLI is endovascular interventions both stand-alone and with use of hybrid approach, especially in patients with critical CLLI. In many cases of multi-level, especially multifocal lesions of arterial vessels, the choice of revascularization tactics is not yet completely defined.

CONCLUSION: In recent years, there has been a trend of using endovascular revascularization technologies in continued stenosis and occlusions of the lower limb arteries. However, there is an essential need to study their long-term results, as well as to clarify the indications for stenting in critical CLLI.

Введение. Проблема лечения больных с хронической ишемией нижних конечностей (ХИНК) остается чрезвычайно актуальной до настоящего времени. Это обусловлено, прежде всего, увеличением числа пациентов с хроническими облитерирующими заболеваниями периферических артерий, занимающими одно из лидирующих позиций в структуре заболеваемости и инвалидности населения старше 60 лет. Прогрессирование заболевания с развитием критической ХИНК в течение пяти лет приводит к ампутации конечности у трети пациентов. Первой линией терапии ХИНК являются эндоваскулярные интервенции, как в изолированном виде, так и с применением гибридного подхода, в особенности у пациентов с критической ХИНК. Во многих случаях при многоэтажных, особенно при мультифокальных, поражениях артериального русла выбор тактики реваскуляризации до конца не определен.

Заключение. В последние годы отмечается тренд в использовании эндоваскулярных технологий реваскуляризации при продолженных стенозах и окклюзиях артерий нижних конечностей. Однако имеется необходимость в изучении их отдаленных результатов, а также уточнении показаний к применению стентирования при критической ХИНК.

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