Abstract
In the literature review, according to publications of recent years, the state of surgical treatment of obliterating atherosclerosis does not meet the requirements of the time. Currently, all research is aimed at improving the early diagnosis of the disease and their timely treatment by improving the quality and efficiency of surgical intervention.
 However, despite a large number of works devoted to diagnosis and prognosis of treatment, there are still many unresolved issues. The accumulated experience indicates the need to standardize the preoperative examination of patients in order to predict the outcome of treatment.
 One of the important aspects of this problem is the development of modern tactics and approaches to surgical treatment. Along with them, it is necessary to evaluate the results of treatment, analyze the quality and determine the effectiveness of traditional operations in modern angiosurgery. It should be noted that today there are a considerable number of new methods of treating atherosclerosis obliterans for early and effective diagnosis, prevention and therapy of the disease.
 However, some issues are insufficiently studied or contradictory and require further research.
Highlights
Atherosclerosis as a systemic disease affects the arteries of all regions of the body
According to the data, according to Bogulovsky J. et al In patients with dominant lower limb ischemia syndrome, CA lesion was observed in 25-50%, renal arteries - 10%, and lesion of the branches of the aortic arch in 2530% of cases
Significant differences in the frequency of BCA lesions detection in patients with atherosclerosis of the abdominal aorta and lower limb arteries can be explained by a number of factors: 1) studies were carried out by non-invasive methods (USDG, DS) and aorto-angiography; 2) when assessing the hemodynamic significance of BCA lesions, various criteria were used from more than 50% to 75% of narrowing of the artery of interest
Summary
Atherosclerosis as a systemic disease affects the arteries of all regions of the body. Occlusive diseases and aneurysms of the infrarenal aorta and iliac arteries occupy one of the central places in modern angiosurgery This is due to both the high prevalence of this pathology and the poor prognosis. Significant differences in the frequency of BCA lesions detection in patients with atherosclerosis of the abdominal aorta and lower limb arteries can be explained by a number of factors: 1) studies were carried out by non-invasive methods (USDG, DS) and aorto-angiography; 2) when assessing the hemodynamic significance of BCA lesions, various criteria were used from more than 50% to 75% of narrowing of the artery of interest. They have emerged as an alternative to traditional aorto-femoral reconstructions using wide trans- or retroperitoneal access and endovascular procedures [37]
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