Remote results of surgical treatment of the patients with multilevel atherosclerotic damage of the main arteries of the lower extremity

The results of treatment of 131 patients, suffering multilevel atherosclerotic affection of abdominal aorta and the main arteries of the lower extremity, are adduced. Algorhythm of arterial reconstruction performance depending on the spread of the aorto-iliac and femoro-politeal segments affection, was elaborated. There were applied two methods of treatment: reconstruction of aorto-iliac segment only and simultaneous reconstruction of arteries on two levels. The differentiated approach to performance of arterial reconstruction application have permitted to achieve positive result in 80% of patients in terms of 5-year follow-up. The lower extremity was secured in 83% of them, mortality had constituted 20%.