REGIONAL VENOUS HYPERTENSION AS A FACTOR OF COMPENSATION FOR MICROCIRCULATORY IMPAIRMENTS IN CHRONIC OBLITERATING DISEASES OF LOWER-LIMB ARTERIES (STATE OF THE ART)

Koshkin V.M., Chupin A.V., Karalkin A.V., Zimin V.R.
State Educational Facility of Higher Professional Education «Russian State Medical University under the Federal Agency for Public Heath and Social Development», Research Institute for Clinical Surgery, Moscow, Russia
Clinical Hospital № 83 under the Federal Biomedical Agency, Centre of Vascular Surgery. Moscow, Russia
Regional hospital (Clinical Department), Kovrov, Russia

A thorough analysis of the literature and own data confirmed a lively interest of vascular surgeons in alterations in venous haemodynamics in patients presenting with chronic obliterating diseases of lower-limb arteries. The presence of close relationships between impaired arterial and venous blood flow and a compensatory pattern of the development of venous hypertension in the ischaemia zone was proved. This should be taken into consideration during conservative therapy of patients suffering from chronic obliterating diseases of lower-limb arteries, and while working out novel types of surgical interventions, as well as for more adequate interpretation of pathophysiological peculiarities of the existing disease.

KEY WORDS: venous hypertension, chronic ischaemia of lower limbs, arterialization of venous blood flow.

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