CLINICAL RESULTS OF ANGIOPLASTY DEPENDING ON THE NUMBER OF RESTORE OF CRURAL ARTERIES AND BLOOD FLOW IN THE ARTERIAL ARCH OF THE FOOT IN PATIENTS WITH CRITICAL LIMB ISCHEMIA

Aim. Was evaluated clinical results of transluminal balloon angioplasty (PTA) in patients with critical ischemia, depending on the opening ratio of crural arteries and restore blood flow in the arterial arch of the foot.

Material and Methods. Results of treatment of 63 patients with critical limb ischemia, who underwent technically successful transluminal balloon angioplasty (PTA).

Results. Clinical success was 79.4%, and was statistically significantly associated both with the opening ratio (p=0.01), and with the restoration of blood flow on arterial arch of the foot (p<0.001). The number of small and large amputations in the case of restoration of arterial arch of the foot was significantly less (p<0.001). The filling of the arc via peroneal artery provide a clinical result comparable to the result of revascularization of the foot through one of the main arteries of the tibia (p=0,18).

Conclusion. Clinical success of the procedure associated with the technical features of the PTA is conducted as with the restoration of the arc, and with the number of "open" arteries of the lower leg.