Importance of Non-Invasive Study of Microcirculation in the Limb at Assessment Amputation Level in the Patients with Critical Ischemia (Review)

S. Petrievskiy; V. Soroka; S. Nokhrin; A. Ryazanov; E. Belousov

doi:10.12737/5685

IMPORTANCE OF NON-INVASIVE STUDY OF MICROCIRCULATION IN THE LIMB AT ASSESSMENT AMPUTATION LEVEL IN THE PATIENTS WITH CRITICAL ISCHEMIA (REVIEW) Importance of Non-Invasive Study of Microcirculation in the Limb at Assessment Amputation Level in the Patients with Critical Ischemia (Review)

АА Аа

Published in Journal of New Medical Technologies. eJournal · Volume 8, Issue 1 · Pages 1–5 · Rubric: LITERATURE REVIEWS

DOI: https://doi.org/10.12737/5685

Received: 08.09.2014 Accepted: 08.09.2014 Published: 08.09.2014 Language of publication: RUS

Authors

S. Petrievskiy

V. Soroka

S. Nokhrin

A. Ryazanov

et al.

E. Belousov

S. Petrievskiy

V. Soroka

S. Nokhrin

A. Ryazanov

E. Belousov

ABSTRACT

The development of modern vascular surgery is impossible without improvement of diagnostic methods of examination. The development of severe disorders of blood circulation in limbs, beyond compensation, ends up executing amputation. In the present review the authors considered one of the current problems of modern vascular surgery - high amputation in patients with critical ischemia of lower extremities, the truncation of the leg. According to the majority authors, the main reason for early purulent - necrotic complications in high amputation is the mistake of determining the level of amputation. This fact is accompanied by a sharp reduction in the duration and quality of life, which entails increasing social burden and increases economic costs of rehabilitation of patients. One of the possible solutions to this problem is to study the safety regulatory mechanisms resistive Department microcirculation (arterioles, precapillary sphincters and metarterioles). This article presents the available arsenal of vascular surgery: methods of diagnostics of the microcirculation. It is proved the critical role of non-invasive methods for measuring microcirculatory disorders in critical limb ischemia (CLI) when the doctors choose the level of amputation. It is a comprehensive assessment of blood circulation in tissues and tissue metabolism allows to giving an objective answer on the degree of ischemic damage to the tissue in occlusive diseases of arteries of lower extremities.

KEYWORDS

atherosclerosis, critical ischemia of lower extremities, microcirculation, amputation

Text

Хронические облитерирующие заболевания артерий нижних конечностей несмотря на достигнутые успехи в диагностике и лечении являются актуальной проблемой сосудистой хирургии и составляют максимальную долю в структуре заболеваемости, стойкой нетрудоспособности и летальности. Невзирая на бурное развитие ангиологии и ангиохирургии лечение больных с облитерирующими заболеваниями артерий нижних конечностей особенно в стадии критической ишемии является до конца нерешенной проблемой.

Симптомы хронической ишемии нижних конечностей отмечаются по разным оценкам у 3% населения, у трети из них через 5-7 лет после появления первых признаков заболевания развивается критическая ишемия [15]. Учитывая несомненные успехи оперативного лечения атеросклеротического поражения различных сосудистых бассейнов в последние десятилетия, а также постоянное развитие и усовершенствование фармакологических препаратов, способных препятствовать прогрессированию атеросклеротического процесса [19], все же их результаты на сегодняшний день нельзя признать столь удовлетворительными.

Достаточно высокими остаются летальность и частота больших ампутаций у пациентов с критической ишемией нижних конечностей. Из-за облитерации дистального артериального русла высокая ампутация конечности в 15-30% случаев является единственной операцией, избавляющей пациента от тяжелых страданий [1].

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Editor-in-Chief, editorial board chair

GOST

Petrievskiy S., Soroka V., Nokhrin S., Ryazanov A., Belousov E. Importance of Non-Invasive Study of Microcirculation in the Limb at Assessment Amputation Level in the Patients with Critical Ischemia (Review) // Journal of New Medical Technologies. eJournal. 2014. no. 1. pp. 1-5. DOI: https://doi.org/10.12737/5685. (Date of access 09.10.2026).

MLA

S. Petrievskiy, Soroka V., Nokhrin S., Ryazanov A., Belousov E.. "Importance of Non-Invasive Study of Microcirculation in the Limb at Assessment Amputation Level in the Patients with Critical Ischemia (Review)." Journal of New Medical Technologies. eJournal 8.1 (2014): 1-5. DOI: https://doi.org/10.12737/5685.

APA

Petrievskiy S., Soroka V., Nokhrin S., Ryazanov A., Belousov E. (2014). Importance of Non-Invasive Study of Microcirculation in the Limb at Assessment Amputation Level in the Patients with Critical Ischemia (Review). Journal of New Medical Technologies. eJournal, 8(1), 1-5. https://doi.org/10.12737/5685

Chicago

S. Petrievskiy, Soroka V., Nokhrin S., Ryazanov A., Belousov E.. "Importance of Non-Invasive Study of Microcirculation in the Limb at Assessment Amputation Level in the Patients with Critical Ischemia (Review)." Journal of New Medical Technologies. eJournal 8, no. 1 (2014): 1-5. https://doi.org/10.12737/5685.

WIKI

{{cite journal | author = Petrievskiy S., Soroka V., Nokhrin S., Ryazanov A., Belousov E. | title = Importance of Non-Invasive Study of Microcirculation in the Limb at Assessment Amputation Level in the Patients with Critical Ischemia (Review) | journal = Journal of New Medical Technologies. eJournal | year = 2014 | volume = 8 | issue = 1 | pages = 1-5 | doi = 10.12737/5685 }}

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IMPORTANCE OF NON-INVASIVE STUDY OF MICROCIRCULATION IN THE LIMB AT ASSESSMENT AMPUTATION LEVEL IN THE PATIENTS WITH CRITICAL ISCHEMIA (REVIEW) Importance of Non-Invasive Study of Microcirculation in the Limb at Assessment Amputation Level in the Patients with Critical Ischemia (Review)

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