Long-term results of profundoplasty in patients with atherosclerotic lesions of the arteries of the lower extremities depending on the state of the distal bed

Abstract

Objective. To evaluate the effectiveness of profundoplasty in patients with atherosclerotic lesions of the arteries of the lower extremities, depending on the state of the distal bed.Materials and methods. A retrospective analysis of 50 medical records and a survey of patients were carried out. The patients were divided into two groups: the first group (n=32) — patients with a satisfactory distal bed (without occlusion of the popliteal artery (PCA) and the presence of at least one tibial artery), the second group (n=18) — patients with occlusion of the PCA and / or tibial arteries. The results of the study were processed using applied statistics methods using MS Excel and the software package for statistical analysis “Statistica v. 8.0”. Differences were considered statistically significant at p < 0.05.Results. The vast majority of patients who underwent profundoplasty were patients with critical lower extremities’ ischemia (F = 0.026; p<0.05). Among patients with occlusion of the popliteal segment, the lower limb was saved during the first year in 44 % of cases. Among patients with a satisfactory distal bed during the year, the limb was saved in 84 % of cases.Conclusion. The state of the distal bed has a significant impact on the result of profundoplasty in the late postoperative period (p=0.008). Patients with peripheral arterial disease in the postoperative period have low compliance with ongoing conservative therapy and modification of risk factors (p>0.05).