Comparative evaluation of the clinical results of transluminal balloon angioplasty depending on the recovery of crural arteries on the basis of «angiosomes» theory

A comparative evaluation of clinical results of transluminal balloon angioplasty in patients with critical limb ischemia, depending on the recovery of the crural arteries supplying the area of ischemia. Treasuiy patients with lesions of the crural arteries were divided into two groups. The first group consisted of patients with localization of ulcers in the area of blood supply anterior tibial artery - 17(53,0%). The second group - 15(47,0%) of the patients with localization of ulcers in the zone of blood supply of the posterior tibial artery. Was evaluated clinical results of angioplasty in patients with direct and indirect revascularization. And analyzed the result of transcutaneous oximetry in the area of the ulcer, depending on what artery was restored during angioplasty. Restore the blood flow on the foot is allowed to keep the limbs in 30 (93,75%) patients. The large number of amputations and re-necrectomy was smaller in the subgroups with direct revascularization of the zone of necrotic defects, indicating the effectiveness of the direct revascularization.