Some aspects of the rehabilitation program on long time after operative treatment of multi-level damages of atherosclerotic genesis

The aim of the study was to evaluate the effectiveness of rehabilitation program in patients at a long time after multilevel peripheral arterial disease (MPAD) revascularization surgery. Materials and methods. The results of MPAD revascularization in 129 patients were analyzed. We formed three group of patients: 60 patients underwent hybrid surgery (HS); 27 - endovascular revascularization (ER); 42 - open operations (OO). Patients were monitored at 12, 24, and 36 months after surgery. Depending on the implementation of the proposed rehabilitation program, all patients were divided into two groups: 70 carried out the required amount of training (main group), 59 patients did not adhere to the rehabilitation program (control group). The following indicators were evaluated: painless walking distance (PWD), maximum walking distance (MWD), ankle-brachial index (ABI), limb salvage, primary patency of the operated segment, frequency of critical ischemia occurrence, adverse cardiovascular events, quality of life according to the EQ-5D questionnaire and mortality. Results. The best level of primary patency in the long-term was found in the group HS (71.6% in comparison with 30.4% and 28.6% - OO and ER, respectively). The maximum walking distance was recorded in the main group in patients after ER and HS (516 and 509 meters, respectively); this indicator was significantly less in non-compliant patients (control group) - 290 and 330 meters, respectively (p function show_eabstract() { $('#eabstract1').hide(); $('#eabstract2').show(); $('#eabstract_expand').hide(); }