Influence of the metabolic syndrome on the results of the reconstructions in patients with infrainguinal artery disease

Abstract

Summary. The aim of the study was to compare open and endovascular interventions in patients with infrainguinal arterial disease (IAD) against a metabolic syndrome (MS). Materials and methods. Results of treatment of 73 patients with IAD on MS background were studied. Patients were divided into two groups: 48 patients made up the basic group, they underwent endovascular interventions; 25 patients entered the control group they performed open operations. The value of bed-day, the degree of oxygenation of tissues, the dynamics of trophic disorders were analyzed. The duration of hospitalization of patients in the main group was less than in patients with open surgery. The dynamics of elimination of trophic disorders is more pronounced in patients of the main group. Conclusion. Endovascular interventions have a number of advantages over open operations in the treatment of IAD patients against the background of the metabolic syndrome: in relation to the number of so-called. “Large” complications, shunt interventions look less preferable.