РЕНТГЕНОЭНДОВАСКУЛЯРНАЯ ХИРУРГИЯ АТЕРОСКЛЕРОТИЧЕСКИХ ОККЛЮЗИОННО-СТЕНОТИЧЕСКИХ ПОРАЖЕНИЙ ПОВЕРХНОСТНОЙ БЕДРЕННОЙ АРТЕРИИ (ОБЗОР ЛИТЕРАТУРЫ)

Abstract

Background. Occlusive-stenotic atherosclerotic lesion of the superficial femoral artery is the most common cause of the development of chronic ischemia of the lower extremities. Bypass surgery, traditionally performed when conservative treatment fails, is frequently associated with trauma. In this regard, balloon angioplasty and stenting are more promising. However, their outcomes need to be carefully studied. The purpose of the study. To analyze the literature on the results of roentgen-endovascular surgery (balloon angioplasty and stenting) in chronic occlusive-stenotic atherosclerotic lesion of the superficial femoral artery and the influence of different factors on its outcomes. Material and methods. A total of 39 sources of literature were analyzed. Results. The outcomes of balloon angioplasty and stenting of the superficial femoral artery depend on the period of postoperative monitoring, comorbidities and are determined by clinical, anatomical, technical and hemodynamic factors. For the moment the search for ways of restenosis and reocclusion prevention in the areas of X-ray endovascular interventions is very relevant. Conclusions. The outcomes of balloon angioplasty and stenting of the superficial femoral artery depend on the timing of postoperative monitoring and are determined by clinical, anatomical, technical and pathophysiological factors. The search for ways to prevent restenoses and reocclusions in the areas of X-ray endovascular interventions is relevant.