RESUMO
The results of examination and treatment of about 3000 patients having chronic arterial ischemia of extremities allowed to define three main types of arterial diseases appearing in arterial ischemia of extremities of different degrees of manifestation: spastic arterial diseases, obliterating diseases and mixed types, combining spasms and arterial obliteration. In case of spastic arterial diseases ischemia is to be treated conservatively. Biosurgical revascularization of extremities having practically no contraindications is recommended in case of obliterating arterial diseases with critical arterial ischemia of extremities, when surgical generally accepted methods have a short-term treatment effect or their application is impossible, in case of peripheral form of arterial affection and also for acute associated diseases of middle-aged and old patients. Mixed arterial ischemia is revealed as a rule for middle-aged and old patients. Biosurgical revascularization and conservative treatment methods were applied for their treatment. The paper is devoted to the treatment of middle-aged and old patients having obliterating arterial diseases of extremities with a clinical presentation of chronic arterial ischemia.
Assuntos
Envelhecimento , Arteriosclerose Obliterante/cirurgia , Isquemia/cirurgia , Perna (Membro)/irrigação sanguínea , Procedimentos Cirúrgicos Vasculares/métodos , Adulto , Idoso , Arteriosclerose Obliterante/diagnóstico por imagem , Doença Crônica , Feminino , Humanos , Isquemia/diagnóstico por imagem , Fluxometria por Laser-Doppler , Perna (Membro)/diagnóstico por imagem , Perna (Membro)/cirurgia , Masculino , Microcirculação , Pessoa de Meia-Idade , Neovascularização Fisiológica , Angiografia Cintilográfica , Resultado do Tratamento , Adulto JovemRESUMO
The experience of examination and treatment of about 3000 patients having chronic arterial ischemia of extremities allowed to determine that such a clinical presentation appears as a result of functional organic diseases of arteries of extremities: arterial vasoconstriction and obliterating disease of arteries (obliterating atherosclerosis, obliterating endoarteritis, diabetic angiopathy). Chronic ischemia of extremities develops from arterial vasoconstriction of central genesis and then obliterating disease of arteries joins the process. The paper is devoted to the first phase of development of chronic arterial ischemia of extremities: vertebragenous angiospastic disease of arteries of extremities and its treatment for patients of middle and old age.
