DIAGNOSTIC AND THERAPEUTIC POLICY IN GERONTOLOGICAL PATIENTS WITH ATHEROSCLEROTIC LESIONS OF LOWER LIMB

Ismailov N.B., Vesnin A.V.
Hospital №2 Chair of General Surgery I.M. Sechenov Moscow Medical Academy,
Moscow, Russia

Discussed herein are priorities of appropriate application of a special instrumental examination of the arterial bed of the lower extremities in elderly and aged patients presenting with chronic critical ischaemia on the background of atherosclerosis obliterans. Also analysed are the findings of an ultrasonographic examination of the lower-limb arterial system as a fundamental method for diagnosis of an atherosclerotic lesion thereof followed by comparing the findings of the preoperative examination with the intraoperative data obtained during revision of the femoropopliteal segment.

The obtained results made it possible to formulate conclusions on the preferable use of ultrasonography for examining gerontological patients suffering from lower limb chronic critical ischaemia as a simple, rapid, informative, and most importantly, non-invasive method, which is extremely important for elderly and aged people. It is underlined that in a series of cases contrast-enhanced aortoangiography can be used for examining the vascular status in gerontological patients; however, preference should still be given to an ultrasonographic examination of the lower-limb arterial bed or even direct visualisation of the affected arterial segment during intraoperative revision thereof.

KEY WORDS: doppler ultrasonography, duplex scanning, contrast-enhanced angiography, atherosclerosis obliterans of the lower limbs, gerontological patient.

P. 31

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