Comparison of surgical treatment results of critical limb ischemia and analysis off actors influencing the outcome of surgical treatment

Keywords: peripheral arterial disease, critical limb ischemia, bypass

Abstract

Objective. To evaluate the results of surgical treatment of critical limb ischemia in two specialized vascular centers.

Materials and methods. The results of surgical treatment of 202 patients with critical lower limb ischemia, which were operated in two specialized vascular centers: I Group (76 patients) -ClinicofVascularSurgery at the Military Hospital, Ruzomberok,Slovak Republic; II Group (126 patients) -ClinicofVascularSurgery, EastSlovakInstituteofCardiovascularDiseases, Kosice, Slovak Republic.

Results.The patency of arterial reconstructions in I Group was: the femoro-supragenicular segment: 1 year -83%, 3 years - 73%;the infragenicular segment: 1 year - 68%, 3 years - 52%. In II Group -the femoro-supragenicular segment: 1 year - 91%, 3 years - 82%;the infragenicular segment: 1 year - 72%, 3 years - 64%.

Conclusion.The patency of arterial reconstructions during the first year in both vascular centers was without statistical difference. The femoro-supragenicular reconstructions had the best patency over three years (> 70%). The following factors influenced the duration of arterial reconstructions: the type of graft used, diabetesmellitus, smoking.

Author Biographies

P. Beňo, Clinicof Vascular Surgery at the Military Hospital, Ružomberok, Slovak Republic

Beňo Peter,
Vascular surgeon of the ClinicofVascularSurgery at the Military Hospital,
Ružomberok 034 26, GenerálaMilošaVesela 21, SlovakRepublic
+421905222110
benop68@gmail.com
ORCID: http://orcid.org/0000-0002-6206-8751

M. Rusňák, Clinicof Vascular Surgery at the Military Hospital, Ružomberok, Slovak Republic

Rusňák Marek,
Vascular surgeon of the ClinicofVascularSurgery at the Military Hospital,
Ružomberok 034 26, GenerálaMilošaVesela 21, SlovakRepublic
+421907563876
marek.rusnak@gmail.com
ORCID: http://orcid.org/0000-0002-7013-8051

P. Štefanič, Clinicof Vascular Surgery, East Slovak Institute of Cardiovascular Diseases, P.I. Safarik University, Medical faculty Košice, Slovak Republic

Stefanic Peter, PhD,
Vascular surgeon of the Vascular Surgery Clinic,
Eastern Slovak Institute of Cardiovascular Diseases,
Ondavska 8, 04001 Kosice, Slovak Republic
P.I. Safarik University, medical faculty, Kosice, Slovak Republic
+421918769451
stefanic.peter8@gmail.com
ORCID: http://orcid.org/0000-0002-0396-3676

I. Kopolovets, Uzhhorod National University, Ukraine

Kopolovets Ivan, PhD,
Vascular surgeon
Vascular Surgery Clinic, Eastern Slovak Institute of Cardiovascular Diseases,
Ondavska 8, 04001 Kosice, Slovakia
Researcher of HSEE "Uzhgorod National University",
Universitetska 10, 88000 Uzhgorod, Ukraine
+380505588211
i.kopolovets@gmail.com
ORCID: http://orcid.org/0000-0002-2721-6114

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Published
2019-12-20
How to Cite
Beňo, P., Rusňák, M., Štefanič, P., & Kopolovets, I. (2019). Comparison of surgical treatment results of critical limb ischemia and analysis off actors influencing the outcome of surgical treatment. Klinicheskaia Khirurgiia, 86(11-12), 13-17. https://doi.org/10.26779/2522-1396.2019.11-12.13
Section
General Problems of Surgery