Stimulation of regional circulation via indirect revascularization in patients with critical lower limb ischemia and distal arterial lesion

Kosaev J.V.

Topchubashev Research Center of Surgery

Abushov N.S.

Topchubashev Research Center of Surgery

Taghi-zade G.T.

Topchubashev Research Center of Surgery

Namazov I.L.

Topchibashev Research Center of Surgery

Khasaeva N.R.

Topchubashev Research Center of Surgery

Stimulation of regional circulation via indirect revascularization in patients with critical lower limb ischemia and distal arterial lesion

Authors:

Kosaev J.V., Abushov N.S., Taghi-zade G.T., Namazov I.L., Khasaeva N.R.

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Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(5): 380‑385

DOI: 10.17116/kardio202114051380

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To cite this article:

Kosaev JV, Abushov NS, Taghi-zade GT, Namazov IL, Khasaeva NR. Stimulation of regional circulation via indirect revascularization in patients with critical lower limb ischemia and distal arterial lesion. Russian Journal of Cardiology and Cardiovascular Surgery. 2021;14(5):380‑385. (In Russ.)
https://doi.org/10.17116/kardio202114051380

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)

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OBJECTIVE

To study the peculiarities of regional circulation in patients with critical lower limb ischemia after indirect revascularization.

MATERIAL AND METHODS

The study was conducted in 137 patients with critical lower limb ischemia. Forty-eight patients underwent standard surgical and conservative treatment. Lumbar sympathectomy was performed in 51 patients (I group), lumbar sympathectomy and revascularizing bone trepanation — in 38 patients (II group). Features of arterial and venous blood flow were studied. Regional hemodynamics was compared with identical parameters in 48 healthy persons (control group).

RESULTS

Upon admission, all patients had severe impairment of arterial and venous blood flow. In the first and the second groups, significant (p<0.05) stimulation of arterial and venous blood flow was observed before discharge and 3-—4 months later. Correlation analysis showed that mobilization of regional blood flow significantly (p=0.001) depends on the method of indirect revascularization with mild correlation (r=0.3—0.5).

CONCLUSION

Lumbar sympathectomy and lumbar sympathectomy + revascularizing bone trepanation significantly stimulate regional circulation in patients with critical lower limb ischemia following distal arterial lesion. Indirect revascularization is justified for regional blood flow stimulation in patients with critical lower limb ischemia following distal arterial lesion if open and endovascular revascularization is impossible.

Keywords:

distal artery damage

critical lower limb ischemia

regional hemodynamics

lumbar sympathectomy

revascularizing bone trepanation

Authors:

Kosaev J.V.

Topchubashev Research Center of Surgery

Abushov N.S.

Topchubashev Research Center of Surgery

Taghi-zade G.T.

Topchubashev Research Center of Surgery

Namazov I.L.

Topchibashev Research Center of Surgery

Khasaeva N.R.

Topchubashev Research Center of Surgery

Received:

14.05.2021

Accepted:

10.06.2021

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