CRITICAL ISCHEMIA RESULTED FROM INADEQUATE OUTPATIENT MANAGEMENT OF LOWER LIMB CHRONIC ARTERIAL OBLITERATIONS

V.S. Saveljev, V.M. Koshkin, A.S. Kunizhev
Faculty Surgery Clinics, Russian State Medical University,
Moscow, Russia

Management of critical and subcritical lower limb ischemia poses a challenge due to poor effectiveness and high costs of therapy. Problem solving supposes not only the development of effective surgical and medical management of severe arterial insufficiency, but also preventive efforts on early outpatient stage.

The paper reviews 611 patients with lower limb arterial obliterative lesions and correlates age, sex, concomitant diseases, stage of arterial insufficiency and risk factors. Consideration of these parameters can be useful in choosing the most effective management strategy.

Authors mention that in community outpatient facilities treatment effectiveness of chronic lower limb arterial obtiterative lesions does not exceed 40%, white the success of conservative treatment according to the protocol developed in their Clinics reaches 90%. It means that there is a real perspective of lowering the incidence of severe lower limb arterial insufficiency managed in hospital environment by improving preventive and therapeutic strategies at outpatient care level.

KEY WORDS: critical ischemia, risk factors, concomitant diseases, stage of arterial insufficiency, outpatient management effectiveness.

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